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General NPI Number Information
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NPI Number | 1477852986
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Entity Type | Organization
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Legal Business Name | CENTRAL TEXAS BIRTH CENTER, PLLC
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 410 W NAKOMA ST
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2623
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Country | US
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Telephone | 210-408-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 101 W COOPERATIVE WAY SUITE 225
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City | GEORGETOWN
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State | TX
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Zip | 78626-8208
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Country | US
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Telephone | 512-763-7569
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Fax | 512-868-5584
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Authorized Official
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Title or Position | ADMINISTRATOR / CLINICAL DIRECTOR
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Name | MRS. HEATHER M HILTON
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Credential | LM
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Telephone | 512-552-8631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number | 150015
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License Number State | TX
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