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General NPI Number Information
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NPI Number | 1215856653
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Entity Type | Organization
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Legal Business Name | FLYING ACE ANESTHESIA ASSOCIATES PLLC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 8111 MEADOW RD
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City | DALLAS
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State | TX
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Zip | 75231-3514
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Country | US
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Telephone | 817-516-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 W LOVERS LN STE 116-431
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City | DALLAS
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State | TX
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Zip | 75209-4330
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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 | OWNER
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Name | DAVID SEROTA
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Credential | MD
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Telephone | 214-952-4021
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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