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General NPI Number Information
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NPI Number | 1801493440
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Entity Type | Organization
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Legal Business Name | GH MEDICAL MANAGEMENT
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 2201 K AVE
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City | PLANO
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State | TX
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Zip | 75074-5974
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Country | US
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Telephone | 469-409-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 4261 E UNIVERSITY DR STE 30-177
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City | PROSPER
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State | TX
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Zip | 75078-9152
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Country | US
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Telephone | 325-518-9456
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. CODY DANIEL HAMRICK
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Credential | DNP-A, CRNA
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Telephone | 325-518-9456
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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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