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General NPI Number Information
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NPI Number | 1285005033
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Entity Type | Organization
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Legal Business Name | UNIQUE SPA AND HEALTH CENTER
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 1779 WELLS BRANCH PWKY NUMBER 110B-323
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City | AUSTIN
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State | TX
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Zip | 78728
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Country | US
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Telephone | 512-584-3480
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Fax | 512-990-7980
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Provider Business Mailing Address
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Address Line | 1779 WELLS BRANCH PWKY NUMBER 110B-323
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City | AUSTIN
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State | TX
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Zip | 78728
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Country | US
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Telephone | 512-584-3480
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Fax | 512-990-7980
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Authorized Official
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Title or Position | OWNER
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Name | REIDEL MARTINEZ
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Credential |
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Telephone | 512-584-3480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | TX
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