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General NPI Number Information
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NPI Number | 1144182304
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Entity Type | Organization
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Legal Business Name | ANESTHESIA BY GM, P.A.
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 7777 FOREST LN STE D400
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City | DALLAS
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State | TX
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Zip | 75230-6899
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Country | US
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Telephone | 972-566-6635
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 670193
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City | DALLAS
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State | TX
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Zip | 75367-0193
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GENOVEVE MATCHETT
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Credential | MD
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Telephone | 469-676-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number |
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License Number State |
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