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General NPI Number Information
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NPI Number | 1710964655
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Entity Type | Organization
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Legal Business Name | AUSTIN RADIOLOGICAL ASSOCIATION
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 1348 HIGHWAY 123
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City | SAN MARCOS
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State | TX
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Zip | 78666-7848
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Country | US
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Telephone | 512-392-1831
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Fax | 512-353-4528
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Provider Business Mailing Address
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Address Line | 12554 RIATA VISTA CIR
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City | AUSTIN
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State | TX
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Zip | 78727-6431
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Country | US
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Telephone | 512-795-5100
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Fax | 512-519-3451
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | SHARLEE LEBLEU
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Credential |
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Telephone | 480-321-7026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | L05329
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | R00151
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License Number State | TX
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