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General NPI Number Information
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NPI Number | 1376662296
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Entity Type | Organization
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Legal Business Name | CEDAR PARK HEALTH SYSTEM LLC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1401 MEDICAL PKWY
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City | CEDAR PARK
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State | TX
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Zip | 78613-7763
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Country | US
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Telephone | 512-528-7000
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Fax | 512-259-9772
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Provider Business Mailing Address
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Address Line | 1401 MEDICAL PKWY
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City | CEDAR PARK
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State | TX
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Zip | 78613-7763
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Country | US
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Telephone | 512-528-7000
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Fax | 512-259-9772
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Authorized Official
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Title or Position | DIRECTOR/DELEGATED OFFICIAL
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Name | JULIE L HOLLY
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Credential |
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Telephone | 210-410-2789
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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 | 008583
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License Number State | TX
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