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General NPI Number Information
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NPI Number | 1548672033
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Entity Type | Organization
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Legal Business Name | HORMONE WELLNESS CENTER OF TEXAS
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 3305 NORTHLAND DR SUITE 301
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City | AUSTIN
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State | TX
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Zip | 78731-4961
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Country | US
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Telephone | 512-458-2000
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Fax | 512-458-2007
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Provider Business Mailing Address
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Address Line | 3305 NORTHLAND DR SUITE 301
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City | AUSTIN
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State | TX
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Zip | 78731-4961
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Country | US
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Telephone | 512-458-2000
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Fax | 512-458-2007
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. RODNEY JAMES DELMONICO
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Credential |
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Telephone | 512-534-1564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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