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General NPI Number Information
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NPI Number | 1194941211
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Entity Type | Individual
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Provider Name | STEPHANIE MICHAEL VERTREES M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 03/27/2022
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Provider Practice Location Address
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Address Line | 8200 N MOPAC EXPY STE 270
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City | AUSTIN
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State | TX
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Zip | 78759-8936
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Country | US
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Telephone | 512-655-3737
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Fax | 512-298-5354
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Provider Business Mailing Address
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Address Line | 8200 N MOPAC EXPY STE 270
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City | AUSTIN
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State | TX
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Zip | 78759-8936
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Country | US
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Telephone | 512-655-3737
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Fax | 512-298-5354
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | P3477
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | P3477
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License Number State | TX
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