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General NPI Number Information
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NPI Number | 1801832407
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Entity Type | Organization
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Legal Business Name | BELTWAY ANESTHESIA GROUP, P.A.
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 4000 SPENCER HWY
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City | PASADENA
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State | TX
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Zip | 77504-1202
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Country | US
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Telephone | 713-359-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3945 DEPT 841
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City | HOUSTON
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State | TX
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Zip | 77253-3945
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Country | US
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Telephone | 281-358-8114
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Fax | 281-358-0609
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAJPAUL GANESH
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Credential | DO
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Telephone | 281-348-0426
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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 | TX
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