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General NPI Number Information
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NPI Number | 1013993534
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Entity Type | Organization
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Legal Business Name | SANTA ROSA ANESTHESIA ASSOCIATES, PA
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6002 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-5062
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Country | US
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Telephone | 850-995-0432
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Fax | 850-995-1118
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Provider Business Mailing Address
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Address Line | PO BOX 30120
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City | PENSACOLA
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State | FL
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Zip | 32503-1120
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Country | US
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Telephone | 850-995-0432
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Fax | 850-995-1118
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Authorized Official
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Title or Position | OWNER
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Name | DAVID W. SIMPSON
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Credential | MD
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Telephone | 850-995-0432
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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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