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General NPI Number Information
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NPI Number | 1952022659
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Entity Type | Organization
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Legal Business Name | SPRING VALLEY ANESTHESIA
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 21777 MERCHANTS WAY STE 410
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City | KATY
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State | TX
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Zip | 77449-6883
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Country | US
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Telephone | 281-973-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 21777 MERCHANTS WAY STE 410
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City | KATY
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State | TX
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Zip | 77449-6883
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Country | US
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Telephone | 281-973-5700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HYON KANG
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Credential | DO
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Telephone | 281-730-2750
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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 |
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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