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General NPI Number Information
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NPI Number | 1538445127
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Entity Type | Organization
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Legal Business Name | MEDICAL PRACTICE MANAGEMENT-LLC
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 03/02/2013
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Provider Practice Location Address
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Address Line | 7005 MIRA LOMA LN STE 100
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City | AUSTIN
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State | TX
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Zip | 78723-1411
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Country | US
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Telephone | 512-796-8416
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Fax |
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Provider Business Mailing Address
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Address Line | 7005 MIRA LOMA LN STE 100
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City | AUSTIN
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State | TX
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Zip | 78723-1411
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Country | US
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Telephone | 512-796-8416
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRIAN HINOJOSA
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Credential |
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Telephone | 512-796-8416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 672526
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License Number State | TX
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