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General NPI Number Information
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NPI Number | 1013250729
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Entity Type | Organization
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Legal Business Name | ANESTHESIA SNOOZ INC
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 665 CAMINO DE LOS MARES #103
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-2859
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Country | US
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Telephone | 760-729-7101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60790
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City | PASADENA
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State | CA
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Zip | 91116-6790
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEAN GANAN
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Credential | D.O.
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Telephone | 760-436-9772
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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 |
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License Number State |
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