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General NPI Number Information
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NPI Number | 1861460438
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Entity Type | Individual
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Provider Name | PAUL CHELETRE BERNARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2600 SAINT MICHAEL DR
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City | TEXARKANA
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State | TX
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Zip | 75503-2372
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Country | US
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Telephone | 903-614-5258
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Fax | 903-614-5260
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Provider Business Mailing Address
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Address Line | 6720 BERTNER AVE STE O-520
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City | HOUSTON
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State | TX
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Zip | 77030-2604
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Country | US
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Telephone | 832-355-2666
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 15287R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | P2097
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License Number State | TX
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