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General NPI Number Information
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NPI Number | 1174786990
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Entity Type | Organization
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Legal Business Name | CHOUCAIR SURGICAL, P.A.
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 9301 N. CENTRAL EXPRESSWAY #551
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City | DALLAS
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State | TX
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Zip | 75231-0806
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Country | US
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Telephone | 217-390-0011
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Fax | 214-389-9799
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Provider Business Mailing Address
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Address Line | 9301 N. CENTRAL EXPRESSWAY #551
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City | DALLAS
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State | TX
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Zip | 75231-0806
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Country | US
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Telephone | 214-390-0011
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Fax | 214-389-9799
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | RAMSEY J. CHOUCAIR
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Credential | M.D.
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Telephone | 214-390-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G4913
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License Number State | TX
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