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General NPI Number Information
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NPI Number | 1578184297
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Entity Type | Organization
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Legal Business Name | HK ANESTHESIA SERVICES PLLC
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 7777 FOREST LN
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City | DALLAS
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State | TX
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Zip | 75230-2571
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Country | US
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Telephone | 732-668-3864
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Fax |
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Provider Business Mailing Address
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Address Line | 890 MAVERICK CT
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City | FAIRVIEW
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State | TX
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Zip | 75069-8096
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Country | US
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Telephone | 732-668-3864
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | HEENA NASEEM KHAN
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Credential | DO
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Telephone | 732-668-3864
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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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