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General NPI Number Information
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NPI Number | 1366015794
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Entity Type | Organization
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Legal Business Name | ASCEND MEDICAL AUSTIN TEXAS, PA
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 805 LAS CIMAS PKWY STE 130
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City | AUSTIN
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State | TX
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Zip | 78746-6527
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Country | US
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Telephone | 404-956-2132
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Fax |
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Provider Business Mailing Address
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Address Line | 619 RANKIN ST NE
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City | ATLANTA
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State | GA
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Zip | 30308-2920
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Country | US
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Telephone | 888-250-5708
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Fax | 470-276-7133
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | SHANNON HERNANDEZ
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Credential |
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Telephone | 404-998-8645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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