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General NPI Number Information
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NPI Number | 1578702734
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Entity Type | Organization
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Legal Business Name | RDA ASSOCIATES PLLC
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 1401 ST JOSEPH PKWY
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City | HOUSTON
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State | TX
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Zip | 77002-8301
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Country | US
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Telephone | 713-757-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 W PECAN ST
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City | GLADEWATER
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State | TX
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Zip | 75647-4164
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Country | US
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Telephone | 866-488-0513
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Fax | 903-374-4711
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Authorized Official
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Title or Position | MD
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Name | JESSE D HEBERT
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Credential | MD
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Telephone | 866-488-0513
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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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