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General NPI Number Information
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NPI Number | 1487865465
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Entity Type | Organization
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Legal Business Name | AUSTIN ASTHMA & LUNG ASSOC., PA
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 801 RANCH ROAD 620 S STE 101
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City | LAKEWAY
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State | TX
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Zip | 78734-5316
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Country | US
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Telephone | 512-263-4230
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Fax | 512-263-0475
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Provider Business Mailing Address
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Address Line | 801 RANCH ROAD 620 S STE 101
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City | LAKEWAY
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State | TX
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Zip | 78734-5316
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Country | US
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Telephone | 512-263-4230
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Fax | 512-263-0475
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BONNIE POHL
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Credential |
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Telephone | 512-423-3147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F6077
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License Number State | TX
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