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General NPI Number Information
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NPI Number | 1508283383
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Entity Type | Organization
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Legal Business Name | FLU BUSTERS LLC
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 720 W 34TH ST SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78705-1205
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Country | US
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Telephone | 512-422-2247
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 163685
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City | AUSTIN
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State | TX
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Zip | 78716-3685
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Country | US
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Telephone | 512-422-2247
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | EDWARD PETERS
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Credential | MD
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Telephone | 512-422-2247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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