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General NPI Number Information
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NPI Number | 1124445325
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Entity Type | Organization
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Legal Business Name | TWILIGHT ANESTHESIA, PLLC
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 737 DELANO ST
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City | HOUSTON
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State | TX
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Zip | 77003-3216
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Country | US
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Telephone | 832-969-2784
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 CANTON ST SUITE 211
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City | DALLAS
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State | TX
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Zip | 75201-5923
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Country | US
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Telephone | 832-969-2784
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Fax |
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Authorized Official
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Title or Position | CEO/LEAD ANESTHESIOLOGIST
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Name | DR. REGINALD JAMES NEWSOME
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Credential | MD
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Telephone | 832-969-2784
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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 | M8869
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License Number State | TX
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