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General NPI Number Information
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NPI Number | 1740521145
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Entity Type | Organization
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Legal Business Name | D&D ANESTHESIA, PLLC
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Dates
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Enumeration Date | 03/09/2013
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Last Update Date | 03/09/2013
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Provider Practice Location Address
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Address Line | 1700 ALMA DR SUITE 365
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City | PLANO
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State | TX
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Zip | 75075-6937
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Country | US
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Telephone | 972-233-9139
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Fax | 972-233-0749
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Provider Business Mailing Address
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Address Line | 1700 ALMA DR SUITE 365
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City | PLANO
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State | TX
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Zip | 75075-6937
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Country | US
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Telephone | 972-233-9139
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Fax | 972-233-0749
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRANNON MARLOWE
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Credential | M.D.
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Telephone | 972-233-9139
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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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Taxonomy #2
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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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