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General NPI Number Information
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NPI Number | 1225745573
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Entity Type | Organization
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Legal Business Name | MARBLE FALLS PRIMARY CARE, PLLC
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Dates
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Enumeration Date | 11/04/2022
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 101 N US HIGHWAY 281 STE 101
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City | MARBLE FALLS
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State | TX
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Zip | 78654-5764
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Country | US
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Telephone | 830-265-6299
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Fax | 830-637-6866
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Provider Business Mailing Address
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Address Line | 101 N US HIGHWAY 281 STE 101
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City | MARBLE FALLS
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State | TX
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Zip | 78654-5764
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Country | US
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Telephone | 830-265-6299
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Fax | 830-637-6866
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Authorized Official
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Title or Position | FNP-C/OWNER
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Name | LINDA SUTHERLAND
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Credential | FNP-C
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Telephone | 512-966-6385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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