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General NPI Number Information
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NPI Number | 1134561707
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Entity Type | Organization
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Legal Business Name | SAI MD PLLC
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 309 REGENCY PKWY STE 101
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City | MANSFIELD
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State | TX
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Zip | 76063-5165
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Country | US
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Telephone | 972-426-7447
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 630949
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City | IRVING
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State | TX
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Zip | 75063-0015
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Country | US
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Telephone | 972-839-6922
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Fax | 877-576-0804
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Authorized Official
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Title or Position | MANAGER
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Name | NITA TAYLOR
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Credential |
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Telephone | 972-426-7447
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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 | P1484
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License Number State | TX
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