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General NPI Number Information
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NPI Number | 1174642656
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Entity Type | Organization
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Legal Business Name | AUSTIN IVF, LP
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 6500 N. MOPAC BUILDING 3, SUITE 3102
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City | AUSTIN
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State | TX
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Zip | 78731
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Country | US
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Telephone | 512-610-7474
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Fax | 512-610-7477
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Provider Business Mailing Address
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Address Line | 6500 N. MOPAC BUILDING 3, SUITE 3102
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City | AUSTIN
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State | TX
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Zip | 78731
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Country | US
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Telephone | 512-610-7474
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Fax | 512-610-7477
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. KAYLEN MARK SILVERBERG
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Credential |
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Telephone | 512-610-7426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 45D0505891
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License Number State |
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