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General NPI Number Information
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NPI Number | 1235976036
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Entity Type | Organization
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Legal Business Name | CEDAR INTERNAL MEDICINE PA
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Dates
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Enumeration Date | 07/10/2024
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1800 HERITAGE BLVD
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City | MIDLAND
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State | TX
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Zip | 79707-9750
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Country | US
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Telephone | 432-520-1600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50850
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City | MIDLAND
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State | TX
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Zip | 79710-0850
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Country | US
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Telephone | 432-978-5271
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH SHAYEB
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Credential | MD
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Telephone | 432-352-2738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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