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General NPI Number Information
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NPI Number | 1639587900
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Entity Type | Organization
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Legal Business Name | INSTITUTE OF MEDICAL AND HEALTH PHYSICIANS OF AUSTIN PLLC
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 07/30/2014
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Provider Practice Location Address
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Address Line | 12180 N MOPAC EXPY STE D
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City | AUSTIN
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State | TX
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Zip | 78758-2909
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Country | US
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Telephone | 512-719-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 12180 N MOPAC EXPY STE D
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City | AUSTIN
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State | TX
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Zip | 78758-2909
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Country | US
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Telephone | 512-719-3223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARVIN SWANSON
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Credential | MD
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Telephone | 512-719-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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