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General NPI Number Information
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NPI Number | 1548717531
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Entity Type | Organization
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Legal Business Name | THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF AUSTIN
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 1100 W CESAR CHAVEZ ST
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City | AUSTIN
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State | TX
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Zip | 78703-4603
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Country | US
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Telephone | 512-542-9622
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Fax | 512-476-3548
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Provider Business Mailing Address
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Address Line | 3208 RED RIVER ST SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78705-2659
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Country | US
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Telephone | 512-322-9622
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Fax | 512-457-1972
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JAMES FINCK
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Credential |
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Telephone | 512-322-9622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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