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General NPI Number Information
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NPI Number | 1386713139
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Entity Type | Individual
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Provider Name | PATRICIA BOHN EWERT MD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 190 BUTTERCUP CREEK BLVD
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City | CEDAR PARK
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State | TX
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Zip | 78613-3772
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Country | US
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Telephone | 512-336-5824
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Fax |
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Provider Business Mailing Address
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Address Line | 13108 CANYON VIEW
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City | LEANDER
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State | TX
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Zip | 78641
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Country | US
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Telephone | 713-665-5065
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Fax | 713-592-9943
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M2318
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License Number State | TX
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