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General NPI Number Information
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NPI Number | 1811934649
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Entity Type | Organization
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Legal Business Name | BRUSHY CREEK FAMILY PHYSICIANS PA
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 7200 WYOMING SPGS SUITE #1500
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City | ROUND ROCK
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State | TX
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Zip | 78681-4303
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Country | US
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Telephone | 512-218-8696
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Fax | 512-218-9532
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Provider Business Mailing Address
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Address Line | 7200 WYOMING SPGS SUITE #1500
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City | ROUND ROCK
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State | TX
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Zip | 78681-4303
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Country | US
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Telephone | 512-218-8696
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Fax | 512-218-9532
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Authorized Official
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Title or Position | BILLING AR/AP
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Name | CINDY KAY CHRISTENSEN
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Credential |
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Telephone | 512-218-8696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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