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General NPI Number Information
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NPI Number | 1194169151
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Entity Type | Individual
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Provider Name | EUGENE FRANK PATALIK JR. RPH
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Gender | Male
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 6929 AIRPORT BLVD SUITE 176
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City | AUSTIN
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State | TX
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Zip | 78752-6929
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Country | US
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Telephone | 512-577-0220
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Fax | 512-421-1005
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Provider Business Mailing Address
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Address Line | 6929 AIRPORT BLVD
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City | AUSTIN
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State | TX
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Zip | 78752-3629
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Country | US
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Telephone | 512-421-1000
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Fax | 512-421-1005
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22208
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License Number State | TX
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