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General NPI Number Information
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NPI Number | 1417336256
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Entity Type | Organization
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Legal Business Name | GARY ALAN HOPKINS, MD, PA
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Dates
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Enumeration Date | 05/27/2015
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 3724 EXECUTIVE CENTER DR
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City | AUSTIN
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State | TX
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Zip | 78731-1646
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Country | US
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Telephone | 512-762-1812
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Fax | 512-372-1550
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Provider Business Mailing Address
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Address Line | 3724 EXECUTIVE CENTER DR SUITE 150
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City | AUSTIN
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State | TX
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Zip | 78731-1646
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Country | US
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Telephone | 512-372-1550
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Fax | 512-372-1552
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY ALAN HOPKINS
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Credential | MD
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Telephone | 512-762-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | K7302
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License Number State | TX
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