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General NPI Number Information
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NPI Number | 1760661649
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Entity Type | Organization
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Legal Business Name | SURGICAL ASSOCIATES OF CENTRAL TEXAS, P.A.
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 521 STAGECOACH TRL
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City | SAN MARCOS
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State | TX
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Zip | 78666-5087
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Country | US
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Telephone | 512-396-6300
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Fax | 512-396-6303
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Provider Business Mailing Address
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Address Line | PO BOX 1065
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City | SAN MARCOS
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State | TX
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Zip | 78667-1065
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Country | US
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Telephone | 512-396-6300
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Fax | 512-396-6303
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANNETTE P OCCHIALINI
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Credential | M.D.
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Telephone | 512-396-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | H0699
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License Number State | TX
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