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General NPI Number Information
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NPI Number | 1629640305
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Entity Type | Organization
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Legal Business Name | ARTEMIS ANESTHESIA, PLLC
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-2141
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Country | US
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Telephone | 682-337-1599
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Fax |
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Provider Business Mailing Address
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Address Line | 1436 EAGLE BND
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City | SOUTHLAKE
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State | TX
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Zip | 76092-9426
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Country | US
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Telephone | 682-337-1599
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KIMBERLY NGUYEN
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Credential |
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Telephone | 682-337-1599
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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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