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NPI 1023479755

NPI 1023479755 : ANESTHESIOLOGY CONSULTANTS, INC : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1023479755
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANESTHESIOLOGY CONSULTANTS, INC 
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Dates
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    Enumeration Date     |    03/08/2016
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    Last Update Date     |    03/08/2016
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Provider Practice Location Address
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    Address Line         |    7220 S CIMARRON RD STE 230 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89113-2173
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    Country              |    US
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    Telephone            |    702-878-0070
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    Fax                  |    702-209-2064
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Provider Business Mailing Address
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    Address Line         |    7220 S CIMARRON RD STE 230 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89113-2173
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    Country              |    US
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    Telephone            |    702-878-0070
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    Fax                  |    702-209-2064
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Authorized Official
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    Title or Position    |    CREDENTIALING
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    Name                 |    MS. TRINA R MCDONALD 
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    Credential           |    
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    Telephone            |    702-878-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    RN64318
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    License Number State |    NV
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