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General NPI Number Information
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NPI Number | 1366563645
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Entity Type | Organization
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Legal Business Name | AUSTWELL-TIVOLI I.S.D.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 207 REDFISH ST
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City | TIVOLI
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State | TX
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Zip | 77990-4500
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Country | US
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Telephone | 361-286-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 207 REDFISH ST
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City | TIVOLI
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State | TX
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Zip | 77990-4500
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Country | US
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Telephone | 361-286-3212
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | DR. ANTONIO AGUIRRE
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Credential | PH.D.
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Telephone | 361-286-3212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | TX
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