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General NPI Number Information
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NPI Number | 1336591684
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Entity Type | Individual
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Provider Name | SAKDA SATHIRAREUANGCHAI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 5959 HARRY HINES BLVD STE HP3.370
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City | DALLAS
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State | TX
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Zip | 75235-6234
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Country | US
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Telephone | 808-670-8455
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Fax |
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Provider Business Mailing Address
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Address Line | 5959 HARRY HINES BLVD STE HP3.370
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City | DALLAS
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State | TX
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Zip | 75235-6234
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MDR7077
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License Number State | HI
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