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General NPI Number Information
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NPI Number | 1710580337
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Entity Type | Organization
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Legal Business Name | CEDARS ANESTHESIOLOGY PLLC
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 25327 INTERSTATE 45 STE A
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City | SPRING
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State | TX
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Zip | 77380-3521
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Country | US
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Telephone | 832-430-6286
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Fax | 819-410-1390
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Provider Business Mailing Address
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Address Line | PO BOX 1315
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City | SPRING
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State | TX
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Zip | 77383-1315
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Country | US
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Telephone | 832-298-6903
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Fax | 819-410-1390
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW KHOURY
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Credential | MD
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Telephone | 832-283-9519
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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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