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General NPI Number Information
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NPI Number | 1194971697
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Entity Type | Organization
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Legal Business Name | JOHN EDWARD DELHAGEN IV, MD, PA
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 2707 WINDCLIFF DR
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-3617
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Country | US
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Telephone | 210-621-0640
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Fax | 210-621-2386
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Provider Business Mailing Address
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Address Line | PO BOX 240098
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City | SAN ANTONIO
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State | TX
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Zip | 78224-0098
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Country | US
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Telephone | 210-621-0640
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Fax | 210-621-2386
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Authorized Official
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Title or Position | OWNER
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Name | JOHN EDWARD DELHAGEN IV
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Credential | MD
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Telephone | 512-423-0184
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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 |
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License Number State |
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