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General NPI Number Information
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NPI Number | 1477766574
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Entity Type | Organization
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Legal Business Name | RGV ANESTHESIA SERVICES INC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 119 ULEX AVE
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City | MCALLEN
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State | TX
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Zip | 78504-2411
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Country | US
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Telephone | 956-682-4151
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Fax | 956-682-4154
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Provider Business Mailing Address
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Address Line | PO BOX 3744
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City | MCALLEN
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State | TX
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Zip | 78502-3744
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Country | US
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Telephone | 956-682-4151
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Fax | 956-682-4154
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | NORA COAST
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Credential | CRNA
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Telephone | 956-682-4151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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