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General NPI Number Information
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NPI Number | 1386188167
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Entity Type | Organization
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Legal Business Name | DOCTX3 PLLC
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 7900 FM 1826 SUITE 120 BLDG 1
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City | AUSTIN
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State | TX
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Zip | 78737-1407
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Country | US
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Telephone | 512-888-1201
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Fax |
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Provider Business Mailing Address
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Address Line | 2805 DALLAS PKWY SUITE 640
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City | PLANO
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State | TX
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Zip | 75093-8719
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID HASSINGER
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Credential |
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Telephone | 208-921-4787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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