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General NPI Number Information
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NPI Number | 1881648871
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Entity Type | Organization
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Legal Business Name | ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 12/03/2018
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Provider Practice Location Address
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Address Line | 2400 ROUND ROCK AVE
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City | ROUND ROCK
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State | TX
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Zip | 78681-4004
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Country | US
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Telephone | 512-255-6066
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Fax | 512-238-1799
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Provider Business Mailing Address
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Address Line | 1 PARK PLZ REGULATORY COMPLIANCE SUPPORT, BLDG. 2-3 W
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City | NASHVILLE
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State | TN
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Zip | 37203-6527
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Country | US
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Telephone | 210-581-4452
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Fax | 512-238-1799
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Authorized Official
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Title or Position | CFO
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Name | LAURA WIESS
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Credential |
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Telephone | 512-341-6404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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