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General NPI Number Information
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NPI Number | 1821125204
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Entity Type | Organization
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Legal Business Name | RONALD DEVERE, MD PA
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1200 LAKEWAY DR STE 8
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City | LAKEWAY
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State | TX
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Zip | 78734-4456
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Country | US
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Telephone | 512-261-7909
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Fax | 512-402-9241
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Provider Business Mailing Address
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Address Line | 1200 LAKEWAY DR STE 8
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City | LAKEWAY
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State | TX
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Zip | 78734-4456
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NEUROLOGIST
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Name | RONALD DEVERE
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Credential |
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Telephone | 512-261-7909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | E3253
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License Number State | TX
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