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General NPI Number Information
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NPI Number | 1194026591
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY INFECTIOUS DISEASE CONSULTANTS, PLLC
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 2400 ROUND ROCK AVE
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City | ROUND ROCK
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State | TX
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Zip | 78681-4004
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Country | US
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Telephone | 512-826-5865
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Fax |
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Provider Business Mailing Address
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Address Line | 12741 RESEARCH BLVD SUITE 500
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City | AUSTIN
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State | TX
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Zip | 78759-4388
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIMBERLY J GAMBARIN
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Credential | MD
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Telephone | 512-826-5865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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