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General NPI Number Information
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NPI Number | 1790771814
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Entity Type | Individual
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Provider Name | PAOLO V. VENEGONI MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 2200 PARK BEND DR BLDG 2 STE. 300
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City | AUSTIN
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State | TX
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Zip | 78758-5387
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Country | US
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Telephone | 512-617-6000
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Fax | 512-339-7838
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Provider Business Mailing Address
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Address Line | 5301 RIATA PARK CT BLDG D SUITE 200
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City | AUSTIN
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State | TX
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Zip | 78727-3437
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Country | US
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Telephone | 512-617-6000
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Fax | 512-615-0459
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | J3645
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License Number State | TX
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