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General NPI Number Information
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NPI Number | 1437597812
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Entity Type | Organization
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Legal Business Name | VIVERE HEALTH AUSTIN, LLC
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 2200 PARK BEND DR BLDG 3 STE 200
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City | AUSTIN
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State | TX
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Zip | 78758-5387
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Country | US
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Telephone | 512-730-0471
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Fax | 512-327-2879
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Provider Business Mailing Address
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Address Line | 2200 PARK BEND DR., BLDG 3, STE. 200
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City | AUSTIN
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State | TX
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Zip | 78758-5387
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Country | US
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Telephone | 512-730-0471
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Fax | 512-730-0474
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Authorized Official
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Title or Position | VP OF ASC OPERATIONS & FINANCES
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Name | DON KNIGHT
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Credential |
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Telephone | 281-682-0466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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