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General NPI Number Information
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NPI Number | 1245268846
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF KERRVILLE PLLC
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 03/14/2012
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Provider Practice Location Address
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Address Line | 551 HILL COUNTRY DR
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City | KERRVILLE
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State | TX
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Zip | 78028-6085
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Country | US
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Telephone | 830-896-1344
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Fax | 830-896-1363
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Provider Business Mailing Address
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Address Line | 420 WATER ST #105-B
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City | KERRVILLE
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State | TX
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Zip | 78028-5200
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Country | US
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Telephone | 830-896-1344
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Fax | 830-896-1363
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Authorized Official
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Title or Position | MANAGER
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Name | JOHN H MASSEY
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Credential |
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Telephone | 830-896-1344
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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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