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General NPI Number Information
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NPI Number | 1932847449
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Entity Type | Organization
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Legal Business Name | DOCWHOLISTENS PLLC
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 09/05/2022
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Provider Practice Location Address
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Address Line | 235 ESTATE ROW
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City | CEDAR CREEK
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State | TX
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Zip | 78612-3902
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Country | US
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Telephone | 601-672-0639
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Fax |
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Provider Business Mailing Address
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Address Line | 489 AGNES ST STE 112-268
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City | BASTROP
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State | TX
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Zip | 78602-2156
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Country | US
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Telephone | 512-988-9709
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DR. CRYSTAL BERRY-ROBERTS
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Credential | MD, MBA, FACOG
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Telephone | 512-988-9709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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