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General NPI Number Information
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NPI Number | 1407839129
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Entity Type | Organization
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Legal Business Name | THE AUSTIN DIAGNOSTIC CLINIC, PLLC
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 12221 N MO PAC EXPWY DEPT OF ALLERGY
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City | AUSTIN
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State | TX
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Zip | 78758
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Country | US
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Telephone | 512-901-4002
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Fax | 512-901-3902
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-4692
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Country | US
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Telephone | 615-373-7406
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Fax |
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Authorized Official
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Title or Position | GROUP VICE PRESIDENT
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Name | NICHOLAS WADLINGTON
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Credential |
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Telephone | 615-372-7332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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