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General NPI Number Information
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NPI Number | 1548613128
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Entity Type | Organization
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Legal Business Name | BHS PHYSICIANS NETWORK, INC
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 11301 FALLBROOK DR STE 304
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City | HOUSTON
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State | TX
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Zip | 77065-4237
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Country | US
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Telephone | 832-604-5414
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Fax | 281-894-9054
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Provider Business Mailing Address
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Address Line | PO BOX 5730
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City | BELFAST
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State | ME
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Zip | 04915-5700
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Country | US
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Telephone | 832-604-5414
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Fax | 281-894-9054
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Authorized Official
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Title or Position | SR DIR ADMINISTRATOR 501A, TENET
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Name | MR. ROBERT BRANSTETTER
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Credential |
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Telephone | 469-893-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology 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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology 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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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