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General NPI Number Information
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NPI Number | 1912395203
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Entity Type | Organization
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Legal Business Name | CHG HOSPITAL AUSTIN, LLC
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 4681 COLLEGE PARK DR
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City | ROUND ROCK
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State | TX
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Zip | 78665-1526
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Country | US
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Telephone | 512-671-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 680 S 4TH ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-2407
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Country | US
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Telephone | 502-596-6063
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Fax | 502-212-8481
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOHNETTA TRAYLOR
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Credential |
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Telephone | 502-596-6063
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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 | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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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 | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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