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General NPI Number Information
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NPI Number | 1609281500
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Entity Type | Organization
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Legal Business Name | PREMIERE HOSPITALISTS OF AUSTIN PLLC
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 7213 OTHELLO CV
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City | AUSTIN
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State | TX
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Zip | 78735-1765
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Country | US
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Telephone | 512-297-8661
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Fax |
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Provider Business Mailing Address
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Address Line | 7213 OTHELLO CV
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City | AUSTIN
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State | TX
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Zip | 78735-1765
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Country | US
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Telephone | 512-297-8661
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL SHIH
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Credential | M.D.
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Telephone | 512-297-8661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L8954
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License Number State | TX
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