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General NPI Number Information
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NPI Number | 1245462597
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Entity Type | Individual
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Provider Name | MICHAEL AUGUSTINE GILHEANY FNP
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Gender | Male
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 301 SETON PKWY SUITE 302
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City | ROUND ROCK
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State | TX
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Zip | 78665-8002
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Country | US
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Telephone | 512-324-4812
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Fax | 512-324-4728
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Provider Business Mailing Address
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Address Line | 4616 W HOWARD LN
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City | AUSTIN
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State | TX
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Zip | 78728-6300
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Country | US
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Telephone | 512-324-8960
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Fax | 512-324-8906
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 718996
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License Number State | TX
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