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General NPI Number Information
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NPI Number | 1366775850
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Entity Type | Organization
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Legal Business Name | GREATER TEXAS ANESTHESIA & PAIN MANAGEMENT, PA
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/17/2009
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Provider Practice Location Address
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Address Line | 807 N 4TH ST
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City | SANGER
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State | TX
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Zip | 76266-4414
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Country | US
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Telephone | 940-458-2828
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Fax | 940-458-2522
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Provider Business Mailing Address
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Address Line | 5760 LEGACY DR # B3-119
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City | PLANO
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State | TX
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Zip | 75024-7102
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Country | US
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Telephone | 940-458-2828
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Fax | 940-458-2522
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Authorized Official
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Title or Position | OWNER
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Name | DR. TASNEEM K. AGHA
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Credential | M.D.
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Telephone | 940-458-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | K4347
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License Number State | TX
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