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General NPI Number Information
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NPI Number | 1770399198
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Entity Type | Organization
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Legal Business Name | MULTIPLE SCLEROSIS AND NEUROLOGY INSTITUTE OF AUSTIN
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2200 PARK BEND DR BLDG 1-200
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City | AUSTIN
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State | TX
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Zip | 78758-5590
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Country | US
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Telephone | 512-637-0802
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Fax |
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Provider Business Mailing Address
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Address Line | 9814 MANDEVILLE CIR
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City | AUSTIN
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State | TX
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Zip | 78750-2812
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERICA RIVAS RODRIGUEZ
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Credential | MD
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Telephone | 512-637-0802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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