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General NPI Number Information
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NPI Number | 1598622573
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Entity Type | Organization
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Legal Business Name | OPTUM ANESTHESIA PLLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 700 HIGHLANDER BLVD STE 415
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City | ARLINGTON
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State | TX
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Zip | 76015-4346
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Country | US
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Telephone | 817-516-8811
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Fax | 817-516-8444
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Provider Business Mailing Address
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Address Line | 700 HIGHLANDER BLVD STE 415
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City | ARLINGTON
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State | TX
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Zip | 76015-4346
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Country | US
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Telephone | 817-516-8811
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Fax | 817-516-8444
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Authorized Official
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Title or Position | OWNER
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Name | JULIE GREENE
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Credential | DO
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Telephone | 817-451-5221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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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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