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General NPI Number Information
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NPI Number | 1962698241
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Entity Type | Individual
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Provider Name | BABAK KAVIANI D.P.M
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Gender | Male
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 4131 SPICEWOOD SPRINGS RD STE K1
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City | AUSTIN
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State | TX
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Zip | 78759-8600
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Country | US
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Telephone | 512-394-5108
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Fax | 512-394-5109
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Provider Business Mailing Address
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Address Line | PO BOX 91674
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City | AUSTIN
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State | TX
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Zip | 78709-1674
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Country | US
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Telephone | 512-394-5108
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Fax | 512-394-5109
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1854
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1854
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License Number State | TX
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