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General NPI Number Information
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NPI Number | 1932645058
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Entity Type | Organization
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Legal Business Name | FACIAL FOCUS COSMETIC SURGERY PLLC
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | 10815 RR 2222 BLDG 3C STE. 101
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City | AUSTIN
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State | TX
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Zip | 78730-1159
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Country | US
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Telephone | 512-717-9475
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Fax | 512-498-7535
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Provider Business Mailing Address
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Address Line | 10815 RR 2222 BLDG 3C STE. 101
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City | AUSTIN
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State | TX
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Zip | 78730-1159
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Country | US
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Telephone | 512-717-9475
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Fax | 512-498-7535
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIC S ROSENBERGER
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Credential | MD
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Telephone | 512-717-9475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number |
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License Number State | TX
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