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General NPI Number Information
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NPI Number | 1689869463
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Entity Type | Organization
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Legal Business Name | AUSTIN ASSOCIATION OF OTOLARYNGOLOGISTS
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4407 BEE CAVES RD 1-112
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City | AUSTIN
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State | TX
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Zip | 78746
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Country | US
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Telephone | 512-328-4999
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Fax | 512-328-4979
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Provider Business Mailing Address
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Address Line | 4407 BEE CAVES RD 1-112
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City | AUSTIN
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State | TX
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Zip | 78746
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Country | US
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Telephone | 512-328-4999
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Fax | 512-328-4979
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MELBA F. LEWIS
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Credential | M.D.
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Telephone | 512-328-4999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | H2558
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License Number State | TX
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