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General NPI Number Information
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NPI Number | 1922546159
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Entity Type | Organization
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Legal Business Name | STANDARD ANESTHESIA, PLLC
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 10700 MCPHERSON RD
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City | LAREDO
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State | TX
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Zip | 78045-6268
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Country | US
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Telephone | 210-413-3642
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Fax | 888-681-5805
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Provider Business Mailing Address
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Address Line | 13932 INTERSTATE 10 E
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City | CONVERSE
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State | TX
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Zip | 78109-3136
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Country | US
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Telephone | 210-413-3642
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Fax | 888-681-5805
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Authorized Official
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Title or Position | ORGANIZER
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Name | DR. JOHN HUNTSINGER
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Credential | MD
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Telephone | 210-413-3642
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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 | L2331
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License Number State | TX
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