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General NPI Number Information
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NPI Number | 1659583490
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Entity Type | Organization
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Legal Business Name | BRAE VALLEY ASC, LLP
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 10005 SOUTH MAIN STREET
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City | HOUSTON
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State | TX
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Zip | 77025
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Country | US
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Telephone | 713-275-2800
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Fax | 713-275-2801
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Provider Business Mailing Address
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Address Line | 10005 SOUTH MAIN STREET
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City | HOUSTON
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State | TX
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Zip | 77025
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Country | US
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Telephone | 713-275-2800
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Fax | 713-275-2801
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. EDWARD E. RAMSEY
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Credential |
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Telephone | 713-275-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | IN PROGRESS
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License Number State | TX
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