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NPI 1396621900

NPI 1396621900 : AUSTIN JAMES ARTZ : KILLEEN, TX

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General NPI Number Information
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    NPI Number           |    1396621900
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    Entity Type          |    Individual 
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    Provider Name        |    AUSTIN JAMES ARTZ
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/12/2025
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    Last Update Date     |    08/12/2025
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Provider Practice Location Address
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    Address Line         |    840 PROSPECTOR TRL STE 104 
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    City                 |    KILLEEN
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    State                |    TX
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    Zip                  |    76548-2700
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    Country              |    US
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    Telephone            |    254-545-2652
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    Fax                  |    210-447-0039
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Provider Business Mailing Address
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    Address Line         |    6222 W IH 10 STE 104 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78201-2013
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    Country              |    US
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    Telephone            |    254-545-2652
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    Fax                  |    210-447-0039
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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