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General NPI Number Information
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NPI Number | 1962868976
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Entity Type | Organization
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Legal Business Name | BEACON FAMILY HEALTH CARE
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 4208 MEDICAL PKWY
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City | AUSTIN
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State | TX
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Zip | 78756-3310
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Country | US
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Telephone | 512-452-4900
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Fax | 512-452-4901
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Provider Business Mailing Address
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Address Line | 4208 MEDICAL PKWY
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City | AUSTIN
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State | TX
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Zip | 78756-3310
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Country | US
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Telephone | 512-452-4900
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Fax | 512-452-4901
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Authorized Official
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Title or Position | OWNER
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Name | ERICA WILLIAMS SWEGLER
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Credential | MD
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Telephone | 512-452-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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