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General NPI Number Information
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NPI Number | 1558371278
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Entity Type | Organization
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Legal Business Name | SURGICAL ASSOCIATES OF DALLAS
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 621 N HALL ST SUITE 520
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City | DALLAS
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State | TX
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Zip | 75226-1339
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Country | US
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Telephone | 214-826-2114
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Fax | 214-821-9325
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Provider Business Mailing Address
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Address Line | 621 NORTH HALL SUITE 520
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City | DALLAS
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State | TX
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Zip | 75226
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Country | US
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Telephone | 214-826-2114
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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. HASSAN I BUKHARI
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Credential | M.D.
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Telephone | 214-826-2114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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