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General NPI Number Information
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NPI Number | 1316137722
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Entity Type | Individual
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Provider Name | QING REN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 1330 WONDER WORLD DR STE 101
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City | SAN MARCOS
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State | TX
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Zip | 78666-7567
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Country | US
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Telephone | 512-805-0680
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Fax | 512-805-0682
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Provider Business Mailing Address
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Address Line | 12221 N MOPAC EXPY
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City | AUSTIN
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State | TX
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Zip | 78758-2401
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Country | US
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Telephone | 512-805-0680
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Fax | 512-805-0682
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD.202116
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 0101240430
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | P7973
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License Number State | TX
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