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General NPI Number Information
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NPI Number | 1881730703
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Entity Type | Organization
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Legal Business Name | PARAGON ANESTHESIA ASSOCIATES, P.A.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10455 N CENTRAL EXPY 109-339
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City | DALLAS
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State | TX
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Zip | 75231-2213
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Country | US
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Telephone | 214-891-0501
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Fax | 214-987-0897
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Provider Business Mailing Address
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Address Line | 7232 GLENDORA AVE
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City | DALLAS
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State | TX
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Zip | 75230-5430
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Country | US
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Telephone | 214-891-0501
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Fax | 214-987-0897
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Authorized Official
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Title or Position | OWBER
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Name | DR. NEAL L FISHER
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Credential | M.D.
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Telephone | 214-890-0501
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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 | H2375
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License Number State | TX
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