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General NPI Number Information
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NPI Number | 1710134648
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Entity Type | Organization
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Legal Business Name | STAR ANESTHESIA AND COMPREHENSIVE SPINE/PAIN MANAGEMENT
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 1809 GOLDEN TRAIL CT STE 110
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City | CARROLLTON
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State | TX
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Zip | 75010-4667
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Country | US
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Telephone | 972-316-7270
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Fax | 972-492-5345
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Provider Business Mailing Address
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Address Line | 1809 GOLDEN TRAIL CT STE 110
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City | CARROLLTON
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State | TX
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Zip | 75010-4667
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Country | US
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Telephone | 972-316-7270
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Fax | 972-492-5345
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Authorized Official
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Title or Position | PRESIDENT STAR ANESTHESIA AND COMPR
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Name | DR. PAUL BINU KURIAN
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Credential | D.O.
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Telephone | 214-497-7313
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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 | L9300
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License Number State | TX
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