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General NPI Number Information
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NPI Number | 1881633741
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Entity Type | Organization
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Legal Business Name | GENERAL ANESTHESIA SERVICES PA
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 920 HILLCREST DR
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City | VERNON
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State | TX
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Zip | 76384-3132
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Country | US
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Telephone | 940-552-9351
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 PEASE ST STE 200
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City | VERNON
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State | TX
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Zip | 76384-4600
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Country | US
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Telephone | 940-552-6816
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Fax | 940-552-6816
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MR. FRANK CURTIS KEININGHAM
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Credential | CRNA
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Telephone | 940-552-6816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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