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General NPI Number Information
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NPI Number | 1407307051
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY CT SURGERY PLLC
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 1900 SCENIC DR SUITE 2220
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City | GEORGETOWN
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State | TX
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Zip | 78626-7703
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Country | US
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Telephone | 512-715-4227
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Fax | 800-982-7601
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Provider Business Mailing Address
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Address Line | 12619 FITZHUGH RD. #2
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City | AUSTIN
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State | TX
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Zip | 78736
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Country | US
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Telephone | 512-715-4227
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Fax | 800-982-7601
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELI BECKER
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Credential | MD
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Telephone | 512-878-9433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | P1849
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License Number State | TX
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