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General NPI Number Information
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NPI Number | 1497893531
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Entity Type | Organization
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Legal Business Name | STAT MED P.A.
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 902 N AUSTIN AVE SUITE 102
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City | GEORGETOWN
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State | TX
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Zip | 78626-4333
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Country | US
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Telephone | 512-930-7828
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Fax | 512-869-6539
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Provider Business Mailing Address
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Address Line | 902 N AUSTIN AVE SUITE 102
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City | GEORGETOWN
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State | TX
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Zip | 78626-4333
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Country | US
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Telephone | 512-930-7828
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Fax | 512-869-6539
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL AKERS
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Credential | D.O.
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Telephone | 512-930-7828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | L2082
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License Number State | TX
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