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General NPI Number Information
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NPI Number | 1669058582
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Entity Type | Organization
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Legal Business Name | GREATER ANESTHESIA CONSULTANTS
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 470 E STATE HIGHWAY 114
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City | SOUTHLAKE
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State | TX
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Zip | 76092-4406
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Country | US
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Telephone | 214-450-9926
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Fax |
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Provider Business Mailing Address
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Address Line | 5995 SUMMERSIDE DR UNIT 797922
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City | DALLAS
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State | TX
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Zip | 75379-0218
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Country | US
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Telephone | 214-390-7697
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Fax | 972-432-6692
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Authorized Official
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Title or Position | PRACTICE CONSULTANT
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Name | ADNAN SHAIKH
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Credential |
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Telephone | 972-331-9048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State |
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