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General NPI Number Information
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NPI Number | 1790368470
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Entity Type | Organization
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Legal Business Name | LA LA LAND ANESTHESIA
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | SURGERY CENTER OF TEXAS 6020 W. PLANO PARKWAY
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-563-2477
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Fax |
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Provider Business Mailing Address
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Address Line | LAURIE SMITH, CRNA 2902 WOODSIDE STREET
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City | DALLAS
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State | TX
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Zip | 75204
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Country | US
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Telephone | 972-270-2066
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Fax | 866-507-7848
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | JUDY A. MORRISON
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Credential |
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Telephone | 972-977-8608
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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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