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NPI 1477297026

NPI 1477297026 : UROLOGY AUSTIN, PLLC : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1477297026
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    Entity Type          |    Organization 
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    Legal Business Name  |    UROLOGY AUSTIN, PLLC 
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Dates
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    Enumeration Date     |    04/20/2022
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    Last Update Date     |    02/12/2025
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Provider Practice Location Address
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    Address Line         |    8701 N MOPAC EXPY STE 200 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78759-8364
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    Country              |    US
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    Telephone            |    512-231-1444
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8701 N MOPAC EXPY STE 200 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78759-8364
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |     RICHARD KYLE BICKLING 
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    Credential           |    
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    Telephone            |    512-454-8744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    
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    License Number State |    
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