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General NPI Number Information
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NPI Number | 1811208697
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Entity Type | Organization
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Legal Business Name | AUSTIN MEDICAL GROUP,PLLC
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 7600 HIGHWAY 29 W SUITE 5
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City | GEORGETOWN
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State | TX
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Zip | 78628-6937
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Country | US
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Telephone | 512-930-0363
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Fax | 512-830-0371
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Provider Business Mailing Address
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Address Line | 7600 HIGHWAY 29 W SUITE 5
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City | GEORGETOWN
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State | TX
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Zip | 78628-6937
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Country | US
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Telephone | 512-930-0363
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Fax | 512-830-0371
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Authorized Official
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Title or Position | OWNER
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Name | DR. LOVE D PAUL
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Credential | MD
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Telephone | 512-837-6000
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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 | F7516
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License Number State | TX
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