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General NPI Number Information
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NPI Number | 1780073254
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Entity Type | Organization
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Legal Business Name | VISUAL ENDEAVORS PLLC
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Dates
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Enumeration Date | 01/21/2015
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 7225 W HIGHWAY 71 STE B
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City | AUSTIN
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State | TX
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Zip | 78735-8351
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Country | US
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Telephone | 512-892-1864
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Fax | 512-892-1840
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Provider Business Mailing Address
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Address Line | 7225 W HIGHWAY 71 STE B
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City | AUSTIN
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State | TX
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Zip | 78735-8351
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Country | US
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Telephone | 512-892-1864
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Fax | 512-892-1840
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. PAUL CHRISTOPHER JACOBS
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Credential | OD
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Telephone | 512-892-1864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 3806T
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License Number State | TX
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