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General NPI Number Information
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NPI Number | 1568979805
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Entity Type | Organization
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Legal Business Name | ST DAVIDS AUSTIN AREA ASC LLC
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 12200 RENFERT WAY STE G-2
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City | AUSTIN
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State | TX
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Zip | 78758-5653
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Country | US
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Telephone | 512-901-8340
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Fax | 512-901-8339
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Provider Business Mailing Address
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Address Line | 12200 RENFERT WAY STE G-2
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City | AUSTIN
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State | TX
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Zip | 78758-5653
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Country | US
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Telephone | 512-901-8340
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Fax | 512-901-8339
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Authorized Official
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Title or Position | VP
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Name | WILLIAM GREGORY SWINNEY
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Credential |
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Telephone | 972-789-2897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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