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General NPI Number Information
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NPI Number | 1225035363
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Entity Type | Individual
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Provider Name | AMIN G MERY MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 4 LAKEWAY CENTRE CT
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City | AUSTIN
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State | TX
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Zip | 78734
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Country | US
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Telephone | 512-610-3110
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Fax | 855-657-6065
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Provider Business Mailing Address
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Address Line | 4 LAKEWAY CENTRE CT
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City | AUSTIN
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State | TX
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Zip | 78734
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Country | US
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Telephone | 512-610-3110
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Fax | 855-657-6065
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | L0421
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License Number State | TX
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