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General NPI Number Information
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NPI Number | 1346486008
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Entity Type | Organization
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Legal Business Name | CAROLYN M. HYDE, M.D., P.A.
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Dates
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Enumeration Date | 12/31/2008
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 7200 N MO PAC EXPY SUITE 370
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City | AUSTIN
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State | TX
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Zip | 78731-3069
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Country | US
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Telephone | 512-970-5266
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Fax | 512-476-4310
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Provider Business Mailing Address
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Address Line | 901 W 9TH ST SUITE 103
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City | AUSTIN
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State | TX
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Zip | 78703-4630
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Country | US
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Telephone | 512-970-5266
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Fax | 512-476-4310
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Authorized Official
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Title or Position | CEO
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Name | CAROLYN M HYDE
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Credential | M.D.
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Telephone | 512-970-4266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | H3580
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License Number State | TX
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