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General NPI Number Information
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NPI Number | 1508895301
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Entity Type | Organization
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Legal Business Name | SUMMIT PAIN & ANESTHESIA CONSULTANTS
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 1000 LIPSCOMB ST STE 110
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City | FORT WORTH
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State | TX
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Zip | 76104-3181
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Country | US
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Telephone | 817-348-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 11350 MC CORMICK RD EP1 STE 501
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City | HUNT VALLEY
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State | MD
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Zip | 21031
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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 | PRESIDENT
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Name | DR. VED V AGGARWAL
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Credential | MD
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Telephone | 817-348-8600
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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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