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General NPI Number Information
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NPI Number | 1861748436
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Entity Type | Organization
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Legal Business Name | CHASE KHA ANESTHESIA CONSULTANTS MD PA
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 1200 JUPITER RD UNIT 940243
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City | PLANO
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State | TX
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Zip | 75094-0090
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Country | US
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Telephone | 214-227-4407
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 JUPITER RD UNIT 940243
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City | PLANO
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State | TX
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Zip | 75094-0090
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Country | US
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Telephone | 214-227-4407
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DUNG NGOC HUYNH
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Credential | MD
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Telephone | 214-227-4407
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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 | M8725
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License Number State | TX
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