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General NPI Number Information
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NPI Number | 1619635240
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Entity Type | Individual
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Provider Name | ANN MOWAT LAC
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Gender | Female
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 806 W 10TH ST STE A
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City | AUSTIN
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State | TX
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Zip | 78701-2060
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Country | US
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Telephone | 512-762-6521
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 W 22ND 1/2 ST
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City | AUSTIN
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State | TX
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Zip | 78705-5304
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Country | US
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Telephone | 512-762-6521
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | TXAC1030
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License Number State | TX
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