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General NPI Number Information
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NPI Number | 1639951825
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Entity Type | Organization
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Legal Business Name | SUNSET ANESTHESIA SERVICES PLLC
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 9816 MEMORIAL BLVD STE 101
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City | HUMBLE
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State | TX
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Zip | 77338-4205
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Country | US
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Telephone | 713-855-3017
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Fax |
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Provider Business Mailing Address
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Address Line | 2162 SPRING STUEBNER RD STE 140 #3013
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City | SPRING
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State | TX
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Zip | 77389
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Country | US
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Telephone | 832-557-4064
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Fax | 832-995-0358
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Authorized Official
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Title or Position | CEO
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Name | DR. KIMCHAI LOWE
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Credential | DMD
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Telephone | 713-855-3017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number |
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License Number State |
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