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General NPI Number Information
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NPI Number | 1245145952
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Entity Type | Organization
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Legal Business Name | ALIGN PLASTIC SURGERY
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 10815 RANCH TO MARKET RD 2222 BLDG C3, STE 101
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City | AUSTIN
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State | TX
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Zip | 78730
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Country | US
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Telephone | 301-922-6780
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR # 28945
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 301-922-6780
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TOSANWUMI EHANIRE
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Credential | MD
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Telephone | 301-922-6780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery 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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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