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General NPI Number Information
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NPI Number | 1528523255
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Entity Type | Organization
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Legal Business Name | DONYA ANESTHESIA ENTERPRISE PLLC
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Dates
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Enumeration Date | 02/06/2019
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 7340 CIMARRON MARKET AVE BUILDING A SUITE A
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City | EL PASO
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State | TX
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Zip | 79912-0061
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Country | US
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Telephone | 915-234-2268
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Fax |
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Provider Business Mailing Address
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Address Line | 7340 CIMARRON MARKET AVE BUILDING A STE A
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City | EL PASO
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State | TX
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Zip | 79912-0061
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Country | US
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Telephone | 915-234-2268
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ALI IBRAHIM
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Credential | MD
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Telephone | 317-441-8090
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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 |
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License Number State |
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