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General NPI Number Information
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NPI Number | 1891840575
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Entity Type | Organization
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Legal Business Name | AUSTIN ENT ASSOCIATES
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 7200 WYOMING SPRINGS DR STE 1400
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City | ROUND ROCK
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State | TX
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Zip | 78681-4306
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Country | US
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Telephone | 512-458-6391
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Fax | 512-580-0097
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Provider Business Mailing Address
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Address Line | 7200 WYOMING SPRINGS DR STE 1400
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City | ROUND ROCK
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State | TX
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Zip | 78681-4306
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Country | US
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Telephone | 512-458-6391
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Fax | 512-580-0097
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | JENNIFER VAN REUSEN
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Credential |
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Telephone | 512-380-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number |
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License Number State |
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