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General NPI Number Information
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NPI Number | 1467420117
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Entity Type | Individual
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Provider Name | PAULA L. MCCOLLOUGH CNS
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Gender | Female
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 4100 DUVAL RD BLDG 3 SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78759-3550
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Country | US
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Telephone | 512-485-7200
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Fax | 512-485-7220
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Provider Business Mailing Address
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Address Line | 4510 WEST DR
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City | BELTON
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State | TX
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Zip | 76513-4762
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Country | US
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Telephone | 254-231-9636
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Fax | 254-939-7711
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 541187
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License Number State | TX
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