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General NPI Number Information
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NPI Number | 1801965652
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Entity Type | Organization
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Legal Business Name | RAPID CARE CLINIC PA
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 11416 RR 620 N SUITE F
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City | AUSTIN
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State | TX
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Zip | 78726-1161
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Country | US
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Telephone | 512-249-0925
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Fax | 512-249-0168
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Provider Business Mailing Address
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Address Line | PO BOX 1598
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City | ROUND ROCK
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State | TX
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Zip | 78680-1598
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Country | US
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Telephone | 512-828-4405
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Fax | 512-828-4412
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RON MANSOLO
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Credential | MD
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Telephone | 512-848-4405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | TX
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