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General NPI Number Information
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NPI Number | 1962190744
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Entity Type | Organization
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Legal Business Name | COUCH & CARDIGAN PLLC
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 4131 SPICEWOOD SPRINGS RD STE L1
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City | AUSTIN
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State | TX
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Zip | 78759-8652
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Country | US
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Telephone | 512-575-3599
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Fax |
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Provider Business Mailing Address
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Address Line | 3575 FAR WEST BLVD UNIT 26103
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City | AUSTIN
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State | TX
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Zip | 78755-5006
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Country | US
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Telephone | 512-575-3599
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. SAMUEL SHAPIRO
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Credential | MD
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Telephone | 516-531-7660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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