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General NPI Number Information
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NPI Number | 1477097764
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Entity Type | Organization
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Legal Business Name | HERBAN AUSTIN, LLC
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 2415 W PECAN ST SUITE #201
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3669
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Country | US
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Telephone | 512-900-5969
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 ALTUM ST
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City | AUSTIN
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State | TX
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Zip | 78721-3034
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Country | US
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Telephone | 512-900-5969
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Fax |
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Authorized Official
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Title or Position | CHIEF PRACTITIONER
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Name | DR. NICOLE EILEEN FINKELSTEIN I
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Credential | L.AC., DOM, RH(AHG)
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Telephone | 330-979-9403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | #AC01694
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License Number State | TX
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