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General NPI Number Information
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NPI Number | 1487686226
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Entity Type | Organization
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Legal Business Name | CENTRAL TEXAS PALLIATIVE CARE ASSOCIATES
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 4107 SPICEWOOD SPRINGS RD STE 100
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City | AUSTIN
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State | TX
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Zip | 78759-8645
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Country | US
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Telephone | 512-397-3360
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Fax | 512-343-7107
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Provider Business Mailing Address
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Address Line | 4107 SPICEWOOD SPRINGS RD STE 100
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City | AUSTIN
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State | TX
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Zip | 78759-8645
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Country | US
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Telephone | 512-397-3360
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Fax | 512-343-7107
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. DESIREE EVANS TYRPAK
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Credential |
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Telephone | 512-342-4753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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