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General NPI Number Information
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NPI Number | 1922878776
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Entity Type | Organization
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Legal Business Name | TEXAS CHILDREN'S HOSPITAL NORTH AUSTIN CAMPUS
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Dates
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Enumeration Date | 01/03/2024
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 9835 N LAKE CREEK PKWY PA180
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City | AUSTIN
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State | TX
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Zip | 78717
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Country | US
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Telephone | 737-229-4400
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Fax | 737-229-4401
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Provider Business Mailing Address
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Address Line | 9835 N LAKE CREEK PKWY PA180
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City | AUSTIN
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State | TX
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Zip | 78717
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Country | US
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Telephone | 737-229-4400
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Fax | 737-229-4401
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | OLAYEMI ABUDU
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Credential | PHARM D., MBA-HC
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Telephone | 832-824-5250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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