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General NPI Number Information
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NPI Number | 1457008609
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Entity Type | Organization
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Legal Business Name | ANYPLACE HEALTHCARE ORGANIZATION
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1005 MARLANDWOOD RD STE 119
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City | TEMPLE
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State | TX
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Zip | 76502-3341
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Country | US
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Telephone | 254-203-7368
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Fax | 254-598-2051
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Provider Business Mailing Address
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Address Line | 2001 WINDY TER STE F
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City | CEDAR PARK
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State | TX
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Zip | 78613-4290
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Country | US
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Telephone | 512-989-6990
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DANNY SHANE STEVENS
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Credential |
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Telephone | 512-989-6990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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