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General NPI Number Information
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NPI Number | 1366597304
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Entity Type | Individual
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Provider Name | ADRIENNE M CHAGOLY RN,CNS
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 1221 W BEN WHITE BLVD STE 200B
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City | AUSTIN
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State | TX
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Zip | 78704-7002
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Country | US
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Telephone | 512-443-8500
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Fax | 512-443-2805
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Provider Business Mailing Address
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Address Line | 1603 MEDICAL PARKWAY SUITE 330
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City | CEDAR PARK
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State | TX
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Zip | 78613-7900
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Country | US
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Telephone | 512-765-7806
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Fax | 512-456-7039
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 690975
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License Number State | TX
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