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General NPI Number Information
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NPI Number | 1689971582
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY DIGESTIVE HEALTH PLLC
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Dates
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Enumeration Date | 02/12/2011
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 420 WATER ST SUITE 103
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City | KERRVILLE
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State | TX
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Zip | 78028-5200
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Country | US
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Telephone | 830-896-5005
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Fax | 830-257-0049
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Provider Business Mailing Address
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Address Line | PO BOX 290647
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City | KERRVILLE
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State | TX
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Zip | 78029-0647
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Country | US
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Telephone | 830-257-0375
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Fax | 830-257-0049
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Authorized Official
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Title or Position | GASTROENTEROLOGIST
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Name | DR. MICHAEL JAMES RENSCH
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Credential | MD
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Telephone | 830-896-5005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | L3450
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License Number State | TX
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