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General NPI Number Information
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NPI Number | 1194402032
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Entity Type | Organization
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Legal Business Name | THE MEDICAL INTERNET FOR HUMANITY
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 500 E SAINT JOHNS AVE STE 2620
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City | AUSTIN
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State | TX
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Zip | 78752-2541
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Country | US
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Telephone | 512-829-1742
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Fax |
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Provider Business Mailing Address
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Address Line | 5908 RICHARD CARLTON BLVD
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City | AUSTIN
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State | TX
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Zip | 78727-7016
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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 | VICE PRESIDENT
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Name | MARIYA GRAESTONE
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Credential |
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Telephone | 206-383-5104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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