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General NPI Number Information
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NPI Number | 1750676417
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Entity Type | Organization
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Legal Business Name | CHOICE ANESTHESIA
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 8041 N MACARTHUR BLVD UNIT 2177
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City | IRVING
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State | TX
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Zip | 75063-4102
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Country | US
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Telephone | 469-379-2601
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Fax | 469-252-7647
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Provider Business Mailing Address
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Address Line | PO BOX 271733
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City | FLOWER MOUND
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State | TX
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Zip | 75027-1733
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Country | US
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Telephone | 469-379-2601
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Fax | 469-242-3025
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Authorized Official
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Title or Position | MANAGER
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Name | DR. J KEVIN KING
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Credential | M.D.
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Telephone | 469-379-2601
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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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