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General NPI Number Information
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NPI Number | 1932587847
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Entity Type | Organization
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Legal Business Name | PAHALA VENTURES LLC DBA AUSTIN EMERGENCY CENTER
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 13435 N US HIGHWAY 183 SUITE 311
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City | AUSTIN
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State | TX
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Zip | 78750-3218
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Country | US
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Telephone | 512-614-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 13435 N US HIGHWAY 183 STE 311
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City | AUSTIN
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State | TX
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Zip | 78750-3258
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Country | US
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Telephone | 512-614-1200
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. HENRY SHIH
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Credential | MD
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Telephone | 512-614-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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