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General NPI Number Information
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NPI Number | 1215901368
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Entity Type | Individual
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Provider Name | HOWARD KEN ADOLPH M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 2911 MEDICAL ARTS ST STE 19A
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City | AUSTIN
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State | TX
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Zip | 78705-3329
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Country | US
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Telephone | 512-686-5935
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Fax | 737-242-9997
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Provider Business Mailing Address
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Address Line | 2911 MEDICAL ARTS ST STE 19A
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City | AUSTIN
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State | TX
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Zip | 78705-3329
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Country | US
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Telephone | 512-686-5935
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Fax | 737-242-9997
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | K-9205
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License Number State | TX
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