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General NPI Number Information
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NPI Number | 1831372267
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Entity Type | Organization
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Legal Business Name | WAXAHACHIE ANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 1324 BROWN ST STE. 600
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City | WAXAHACHIE
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State | TX
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Zip | 75165-1421
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Country | US
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Telephone | 972-973-6277
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX T
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City | WAXAHACHIE
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State | TX
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Zip | 75168-1107
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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 | COO
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Name | CAROLYN BRUCE
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Credential |
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Telephone | 713-554-7500
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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 | 007799
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License Number State | TX
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