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General NPI Number Information
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NPI Number | 1336265248
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Entity Type | Organization
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Legal Business Name | AUSTIN ENDODONTICS LLP
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 901 SOUTH MOPAC EXPRESSWAY BUILDING 5, SUIT 220
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City | AUSTIN
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State | TX
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Zip | 78745
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Country | US
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Telephone | 512-327-0461
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Fax | 512-327-0916
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Provider Business Mailing Address
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Address Line | 901 SOUTH MOPAC EXPRESSWAY BUILDING 5, SUITE 220
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City | AUSTIN
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State | TX
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Zip | 78745
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Country | US
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Telephone | 512-327-0461
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Fax | 512-327-0916
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | ERIK GALIAN
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Credential | DMD
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Telephone | 512-327-0461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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