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General NPI Number Information
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NPI Number | 1609497114
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Entity Type | Individual
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Provider Name | NAEDA MARIE SETTERBO
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Gender | Female
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 4515 SETON CENTER PKWY STE 175
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City | AUSTIN
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State | TX
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Zip | 78759-5730
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Country | US
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Telephone | 512-256-6979
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Fax | 512-256-6938
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Provider Business Mailing Address
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Address Line | PO BOX 2735
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City | FRISCO
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State | TX
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Zip | 75034-0051
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Country | US
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Telephone | 512-256-6979
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Fax | 512-256-6938
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 55228
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License Number State | TX
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