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General NPI Number Information
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NPI Number | 1922673656
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Entity Type | Individual
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Provider Name | BARIS VEFALI MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 1109 CHURCH ST
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City | BASTROP
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State | TX
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Zip | 78602-3206
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Country | US
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Telephone | 512-856-5088
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Fax |
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Provider Business Mailing Address
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Address Line | 2911 MEDICAL ARTS ST
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City | AUSTIN
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State | TX
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Zip | 78705-3376
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | V1295
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License Number State | TX
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