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General NPI Number Information
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NPI Number | 1801860762
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Entity Type | Organization
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Legal Business Name | OBSTETRICIAL ANESTHESIA ASSOCIATES OF DALLAS, INC
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 4916 OVERTON PLZ
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City | FORT WORTH
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State | TX
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Zip | 76109-4415
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Country | US
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Telephone | 214-826-8678
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Fax |
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Provider Business Mailing Address
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Address Line | 4916 OVERTON PLZ
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City | FORT WORTH
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State | TX
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Zip | 76109-4415
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLIENT LIASON
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Name | DONITA BILLINGS
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Credential |
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Telephone | 817-529-1937
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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 | TX
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