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General NPI Number Information
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NPI Number | 1386050094
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Entity Type | Organization
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Legal Business Name | NEW U PLASTIC SURGERY
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 1015 E 32ND ST STE. 205
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City | AUSTIN
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State | TX
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Zip | 78705-2707
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Country | US
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Telephone | 512-478-2273
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Fax | 512-472-0921
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Provider Business Mailing Address
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Address Line | 1015 E 32ND ST STE. 205
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City | AUSTIN
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State | TX
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Zip | 78705-2707
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Country | US
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Telephone | 512-478-2273
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Fax | 512-472-0921
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BECCA HERRERA
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Credential |
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Telephone | 512-478-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | L0373
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License Number State | TX
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