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General NPI Number Information
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NPI Number | 1053628040
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Entity Type | Organization
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Legal Business Name | MCINTOSH ANESTHESIOLOGY PLLC
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Dates
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Enumeration Date | 09/11/2010
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Last Update Date | 09/11/2010
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Provider Practice Location Address
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Address Line | 5501 S EXPRESSWAY 77
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City | HARLINGEN
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State | TX
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Zip | 78550-3213
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Country | US
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Telephone | 254-415-9739
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Fax |
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Provider Business Mailing Address
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Address Line | 15028 S VALENCIA CIR
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City | HARLINGEN
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State | TX
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Zip | 78552-2432
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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 | OWNER
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Name | DR. ROBERT W MCINTOSH
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Credential | D.O.
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Telephone | 254-415-9739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | M8177
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License Number State | TX
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