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General NPI Number Information
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NPI Number | 1477078202
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES GROUP PLLC
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 3440 FANNIN ST STE B
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City | BEAUMONT
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State | TX
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Zip | 77701-3803
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Country | US
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Telephone | 409-838-5214
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Fax | 409-838-1946
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Provider Business Mailing Address
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Address Line | PO BOX 621006
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City | DALLAS
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State | TX
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Zip | 75262-1006
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Country | US
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Telephone | 409-838-5214
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Fax | 409-835-1946
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Authorized Official
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Title or Position | MANAGER
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Name | STEPHEN J. SCHANGE
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Credential | MD
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Telephone | 409-838-5214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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