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General NPI Number Information
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NPI Number | 1194552521
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Entity Type | Organization
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Legal Business Name | GOOD ANESTHESIA SERVICES, LLC
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 2222 FORT WORTH AVE STE 130
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City | DALLAS
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State | TX
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Zip | 75211-1864
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Country | US
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Telephone | 945-253-3168
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Fax |
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Provider Business Mailing Address
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Address Line | 5465 LEGACY DR STE 650
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City | PLANO
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State | TX
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Zip | 75024-4171
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Country | US
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Telephone | 945-253-3168
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. LEE GOODLOE
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Credential | DDS
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Telephone | 945-253-3168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number |
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License Number State |
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