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General NPI Number Information
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NPI Number | 1386165132
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Entity Type | Organization
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Legal Business Name | CONCIERGE ANESTHESIA CONSULTANTS, LLC
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Dates
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Enumeration Date | 07/02/2017
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 12626 HOBBS TERRACE DR
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City | TOMBALL
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State | TX
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Zip | 77377-8209
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Country | US
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Telephone | 832-866-9509
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Fax |
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Provider Business Mailing Address
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Address Line | 12626 HOBBS TERRACE DR
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City | TOMBALL
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State | TX
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Zip | 77377-8209
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Country | US
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Telephone | 832-866-9509
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. ANGELA MICHELLE DANIELS
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Credential | CRNA
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Telephone | 832-866-9509
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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 | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | TX
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