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General NPI Number Information
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NPI Number | 1326686494
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Entity Type | Organization
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Legal Business Name | CODE 1 CONCIERGE PLLC
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Dates
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Enumeration Date | 12/19/2019
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 14101 US 290 W SUITE 400B
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City | AUSTIN
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State | TX
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Zip | 78737-2445
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Country | US
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Telephone | 512-894-5050
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Fax | 512-894-2201
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Provider Business Mailing Address
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Address Line | 14101 US 290 W SUITE 400B
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City | AUSTIN
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State | TX
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Zip | 78737-2445
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Country | US
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Telephone | 512-894-5050
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Fax | 512-894-2201
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER WHITNEY-CASHIO
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Credential | MD
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Telephone | 512-894-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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