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General NPI Number Information
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NPI Number | 1922549591
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Entity Type | Organization
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Legal Business Name | PATHWAYS ANESTHESIA INSTITUTE PLLC
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 17330 PRESTON RD SUITE 200 D
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City | DALLAS
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State | TX
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Zip | 75252-5997
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Country | US
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Telephone | 214-500-5755
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 797923
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City | DALLAS
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State | TX
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Zip | 75379-7923
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Country | US
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Telephone | 214-500-5755
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | MOSHE FELDHENDLER
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Credential |
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Telephone | 214-500-5755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 251302
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License Number State | TX
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