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General NPI Number Information
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NPI Number | 1073991089
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Entity Type | Organization
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Legal Business Name | ALLEGIANCE ANESTHESIOLOGY, PA
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 2217 PERSIMMON RIDGE CT
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City | AUSTIN
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State | TX
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Zip | 78732-2085
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Country | US
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Telephone | 512-423-3028
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Fax |
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Provider Business Mailing Address
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Address Line | 21126 COVINGTON BRIDGE DR
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City | SPRING
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State | TX
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Zip | 77388-5315
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Country | US
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Telephone | 832-969-2630
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TODD DRAKE AKINS
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Credential | M.D.
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Telephone | 832-969-2630
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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 | L3221
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License Number State | TX
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