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General NPI Number Information
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NPI Number | 1154317196
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Entity Type | Individual
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Provider Name | MICHAEL E AULT CRNA
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Gender | Male
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 605 HOLDERRIETH BLVD
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City | TOMBALL
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State | TX
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Zip | 77375-6445
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Country | US
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Telephone | 281-880-8190
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Fax |
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Provider Business Mailing Address
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Address Line | 15610 KELLAN CT
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City | CYPRESS
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State | TX
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Zip | 77429-6115
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Country | US
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Telephone | 281-246-4462
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Fax |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 558297
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License Number State | TX
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