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General NPI Number Information
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NPI Number | 1851476006
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Entity Type | Organization
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Legal Business Name | CHCC INC.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 05/25/2011
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Provider Practice Location Address
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Address Line | 1151 N BUCKNER BLVD PB1- SUITE 203
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City | DALLAS
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State | TX
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Zip | 75218-3426
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Country | US
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Telephone | 214-324-4221
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Fax | 214-324-3705
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Provider Business Mailing Address
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Address Line | 1151 N BUCKNER BLVD PB1- SUITE 203
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City | DALLAS
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State | TX
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Zip | 75218-3426
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Country | US
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Telephone | 214-324-4221
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Fax | 214-324-3705
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AARON L. KREISLER
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Credential | M.D.
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Telephone | 214-324-4221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | D3304
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License Number State | TX
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