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General NPI Number Information
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NPI Number | 1730013160
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Entity Type | Organization
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Legal Business Name | AMELIA SOUTHWEST PHYSICIANS
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 5903 LONG CT
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City | AUSTIN
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State | TX
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Zip | 78730-4920
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Country | US
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Telephone | 512-699-0962
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Fax | 877-682-4741
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Provider Business Mailing Address
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Address Line | PO BOX 26458
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City | AUSTIN
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State | TX
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Zip | 78755-0458
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Country | US
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Telephone | 512-633-2388
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Fax | 877-682-4741
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Authorized Official
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Title or Position | CEO
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Name | RANDOLPH B LIPSCHER
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Credential |
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Telephone | 512-699-0962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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