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General NPI Number Information
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NPI Number | 1982661633
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Entity Type | Organization
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Legal Business Name | WILLIAMSON COUNTY & CITIES HEALTH DISTRICT
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 355 TEXAS AVENUE
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City | ROUND ROCK
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State | TX
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Zip | 78664
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Country | US
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Telephone | 512-943-3640
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Fax |
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Provider Business Mailing Address
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Address Line | 355 TEXAS AVENUE
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City | ROUND ROCK
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State | TX
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Zip | 78664
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATION AND FINANCE DIRECTOR
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Name | MICHELLE BRODDRICK
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Credential |
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Telephone | 512-248-3246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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