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General NPI Number Information
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NPI Number | 1790020683
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Entity Type | Organization
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Legal Business Name | AUS DENTAL ASSOC 1 PLLC
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 7301 N FM 620 STE 150
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City | AUSTIN
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State | TX
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Zip | 78726-4538
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Country | US
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Telephone | 702-953-2239
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Fax |
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Provider Business Mailing Address
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Address Line | 7301 N FM 620 STE 150
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City | AUSTIN
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State | TX
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Zip | 78726-4538
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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 | WILLIAM HUGHES
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Credential | DDS
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Telephone | 702-953-2239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 25345
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License Number State | TX
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