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General NPI Number Information
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NPI Number | 1578638896
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Entity Type | Individual
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Provider Name | DR. ADANA MILLIKEN GIPSON
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 12221 N MOPAC EXPY
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City | AUSTIN
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State | TX
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Zip | 78758-2401
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Country | US
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Telephone | 512-482-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 N IH 35 STE 770
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City | AUSTIN
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State | TX
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Zip | 78705-1853
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Country | US
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Telephone | 512-482-8880
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Fax | 512-482-8862
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | J6458
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License Number State | TX
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