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General NPI Number Information
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NPI Number | 1740831130
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Entity Type | Organization
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Legal Business Name | PLAINS ER MANAGEMENT AUSTIN LTD
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Dates
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Enumeration Date | 09/26/2019
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 2020 E RIVERSIDE DR
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City | AUSTIN
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State | TX
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Zip | 78741-1325
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Country | US
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Telephone | 737-717-4100
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Fax | 737-717-4104
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Provider Business Mailing Address
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Address Line | PO BOX 2839
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City | GEORGETOWN
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State | TX
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Zip | 78627-2839
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Country | US
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Telephone | 512-635-5364
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Fax | 737-717-4104
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Authorized Official
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Title or Position | MANAGER
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Name | DAN AKERS
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Credential | DO
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Telephone | 254-317-8039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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