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NPI 1285618421

NPI 1285618421 : RICARDO LONGARINI MD : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1285618421
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    Entity Type          |    Individual 
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    Provider Name        |    RICARDO LONGARINI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/01/2005
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    Last Update Date     |    08/06/2024
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Provider Practice Location Address
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    Address Line         |    11714 WILSON PARKE AVE STE 150 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78726-4061
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    Country              |    US
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    Telephone            |    737-247-7200
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    Fax                  |    512-406-7368
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Provider Business Mailing Address
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    Address Line         |    6210 E HIGHWAY 290 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78723-1142
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    Country              |    US
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    Telephone            |    512-483-9596
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    Fax                  |    512-406-6216
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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        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    MD035344E
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    U3283
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MD035344E
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    2006-01851
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    License Number State |    NC
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