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General NPI Number Information
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NPI Number | 1477828028
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Entity Type | Organization
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Legal Business Name | PSA ANESTHESIA PLLC
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 4100 DUVAL RD STE 100
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City | AUSTIN
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State | TX
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Zip | 78759-3550
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Country | US
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Telephone | 855-876-7246
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Fax | 855-277-5070
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Provider Business Mailing Address
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Address Line | PO BOX 208379
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City | DALLAS
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State | TX
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Zip | 75320-8379
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Country | US
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Telephone | 855-876-7246
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Fax | 844-364-8678
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Authorized Official
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Title or Position | VICE PRESIDENT OF RCM
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Name | ANGELA OPALAK
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Credential |
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Telephone | 512-485-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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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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