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General NPI Number Information
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NPI Number | 1235773151
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Entity Type | Organization
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Legal Business Name | BRUSHY CREEK EMERGENCY PHYSICIANS PLLC
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 230 DEER RIDGE DR
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City | ROUND ROCK
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State | TX
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Zip | 78681-5515
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Country | US
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Telephone | 512-766-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 1464 E WHITESTONE BLVD STE 1101
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City | CEDAR PARK
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State | TX
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Zip | 78613-9070
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Country | US
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Telephone | 512-766-1400
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PATIENT ACCESS
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Name | NICOLE CAMPBELL
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Credential |
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Telephone | 512-948-1752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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