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General NPI Number Information
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NPI Number | 1407293079
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Entity Type | Organization
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Legal Business Name | VIRTUALMD PLLC
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 4316 JAMES CASEY ST BLDG F SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78745-1116
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Country | US
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Telephone | 512-222-9810
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Fax |
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Provider Business Mailing Address
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Address Line | 4316 JAMES CASEY ST BLDG F SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78745-1116
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Country | US
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Telephone | 512-222-9810
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ROBERT O'BRIEN
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Credential | MD
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Telephone | 512-222-9810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | J2712
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License Number State | TX
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