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General NPI Number Information
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NPI Number | 1336327626
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Entity Type | Organization
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Legal Business Name | AUSTIN NEUROPSYCHIATRIC ASSOCIATES
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 310 STAGECOACH TRL STE 300
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City | SAN MARCOS
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State | TX
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Zip | 78666-5183
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Country | US
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Telephone | 512-392-3398
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Fax | 512-392-2890
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Provider Business Mailing Address
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Address Line | 310 STAGECOACH TRL STE 300
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City | SAN MARCOS
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State | TX
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Zip | 78666-5183
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Country | US
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Telephone | 512-392-3398
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Fax | 512-392-2890
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. TAMMY WALDEN
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Credential |
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Telephone | 512-392-3398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 00365
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License Number State | TX
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