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General NPI Number Information
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NPI Number | 1497082325
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Entity Type | Individual
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Provider Name | JOSEPH ROWLAND FESTE MD
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Gender | Male
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 11719 BEE CAVES RD SUITE 100
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City | BEE CAVE
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State | TX
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Zip | 78738-5539
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Country | US
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Telephone | 512-904-4668
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Fax | 512-904-4669
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Provider Business Mailing Address
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Address Line | 211 RANCH ROAD 620 S # 280
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City | LAKEWAY
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State | TX
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Zip | 78734-3965
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Country | US
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Telephone | 512-904-4668
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Fax | 512-904-4669
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | C8968
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License Number State | TX
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