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General NPI Number Information
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NPI Number | 1205947710
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Entity Type | Organization
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Legal Business Name | AUSTIN INFECTIOUS DISEASE CONSULTANTS, PA 080191
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 1301 W 38TH ST STE 403
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City | AUSTIN
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State | TX
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Zip | 78705-1013
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Country | US
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Telephone | 512-459-0301
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Fax | 512-459-9701
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Provider Business Mailing Address
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Address Line | 1301 W 38TH ST STE 403
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City | AUSTIN
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State | TX
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Zip | 78705-1000
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Country | US
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Telephone | 512-459-0301
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Fax | 512-459-9701
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ARIANA MARES
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Credential | CMM
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Telephone | 512-593-7902
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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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