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General NPI Number Information
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NPI Number | 1235291352
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Entity Type | Organization
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Legal Business Name | ST. DAVID'S MEDICAL CENTER
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 919 E 32ND ST
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City | AUSTIN
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State | TX
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Zip | 78705-2703
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Country | US
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Telephone | 512-397-4283
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Fax |
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Provider Business Mailing Address
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Address Line | 180 GOLDENROD ST
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City | KYLE
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State | TX
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Zip | 78640-4217
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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 | NEONATAL NURSE PRACTITIONER
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Name | SHEILA D HERNANDEZ
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Credential |
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Telephone | 512-636-7568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 680725
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License Number State | TX
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