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General NPI Number Information
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NPI Number | 1740184134
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Entity Type | Organization
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Legal Business Name | NMWR AUSTIN
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 1018 W 11TH ST
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City | AUSTIN
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State | TX
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Zip | 78703-4986
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Country | US
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Telephone | 512-883-6466
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Fax | 877-466-4123
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Provider Business Mailing Address
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Address Line | 1018 W 11TH ST
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City | AUSTIN
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State | TX
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Zip | 78703-4986
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Country | US
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Telephone | 512-883-6466
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Fax | 877-466-4123
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Authorized Official
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Title or Position | CEO
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Name | PAULO ANTHONY GRAYSON
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Credential |
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Telephone | 310-892-0535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State | NULL
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