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General NPI Number Information
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NPI Number | 1033271192
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS ANESTHESIA CONSULTANTS, PA
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 7557 RAMBLER RD STE 706
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City | DALLAS
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State | TX
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Zip | 75231-2320
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Country | US
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Telephone | 214-369-0800
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Fax | 214-378-5311
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Provider Business Mailing Address
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Address Line | PO BOX 952106
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City | DALLAS
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State | TX
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Zip | 75395-0001
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Country | US
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Telephone | 214-369-0800
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Fax | 214-378-5311
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK A RACCASI
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Credential | M.D.
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Telephone | 214-369-0800
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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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