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General NPI Number Information
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NPI Number | 1386973030
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY ORAL SURGERY
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 4201 BEE CAVES RD SUITE A103
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6465
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Country | US
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Telephone | 512-327-7233
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Fax | 512-327-7434
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Provider Business Mailing Address
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Address Line | 4201 BEE CAVES RD SUITE A103
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6465
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Country | US
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Telephone | 512-327-7233
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Fax | 512-327-7434
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Authorized Official
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Title or Position | ORAL MAXILLOFACIAL SURGEON
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Name | DR. STEVEN JAY PERKINS
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Credential | D.D.S.
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Telephone | 512-327-7233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 23820
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 17445
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License Number State | TX
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