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General NPI Number Information
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NPI Number | 1003380767
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Entity Type | Organization
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Legal Business Name | FORTY WINKS ANESTHESIA, PLLC
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 4221 MEDICAL PKWY STE 150
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City | CARROLLTON
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State | TX
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Zip | 75010-4545
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Country | US
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Telephone | 972-939-2121
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Fax | 972-939-2120
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Provider Business Mailing Address
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Address Line | 4221 MEDICAL PKWY STE 150
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City | CARROLLTON
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State | TX
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Zip | 75010-4545
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Country | US
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Telephone | 972-939-2121
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Fax | 972-939-2120
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ADNAN NADIR
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Credential |
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Telephone | 972-939-2121
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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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