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General NPI Number Information
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NPI Number | 1720344500
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Entity Type | Organization
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Legal Business Name | CEDAR PARK HEALTH SYSTEMS LP
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1401 MEDICAL PKWY BUILDING B STE 205
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City | CEDAR PARK
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State | TX
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Zip | 78613-7763
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Country | US
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Telephone | 512-528-7401
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Fax | 512-528-7402
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Provider Business Mailing Address
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Address Line | 4000 MERIDIAN BLVD
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City | FRANKLIN
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State | TN
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Zip | 37067-6325
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Country | US
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Telephone | 615-465-7000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEBBIE T. BREWER
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Credential |
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Telephone | 615-465-7626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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