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General NPI Number Information
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NPI Number | 1871522771
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TEXAS AT AUSTIN
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2504 A WHITIS 2504 A WHITIS CMA 2200
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City | AUSTIN
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State | TX
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Zip | 78712
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Country | US
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Telephone | 512-471-3841
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Fax | 512-232-1804
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Provider Business Mailing Address
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Address Line | 1 UNIVERSITY STATION A1100 1 UNIVERSITY STATION A1100 CMA 2200
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City | AUSTIN
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State | TX
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Zip | 78712
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Country | US
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Telephone | 512-471-3841
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Fax | 512-232-1804
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Authorized Official
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Title or Position | CHAIR
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Name | CRAIG A CHAMPLIN
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Credential | PHD
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Telephone | 512-471-6345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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