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General NPI Number Information
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NPI Number | 1467707687
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Entity Type | Organization
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Legal Business Name | PALM VALLEY ANESTHESIA PLLC
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Dates
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Enumeration Date | 07/14/2012
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Last Update Date | 04/15/2013
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Provider Practice Location Address
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Address Line | 1200 E SAVANNAH AVE SUITE 15
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City | MCALLEN
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State | TX
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Zip | 78503-1727
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Country | US
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Telephone | 956-687-2673
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Fax | 956-630-1091
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Provider Business Mailing Address
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Address Line | 1200 E SAVANNAH AVE SUITE 15
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City | MCALLEN
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State | TX
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Zip | 78503-1727
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Country | US
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Telephone | 956-687-2673
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Fax | 956-630-1091
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Authorized Official
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Title or Position | DIRECTOR/MANAGER
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Name | FATIH OZCELEBI
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Credential | MD
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Telephone | 956-687-2673
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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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