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General NPI Number Information
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NPI Number | 1023992625
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Entity Type | Organization
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Legal Business Name | GREATER OCALA ANESTHESIA ASSOCIATES LLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 17355 SE 109TH TERRACE RD
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City | SUMMERFIELD
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State | FL
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Zip | 34491-8930
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Country | US
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Telephone | 352-261-0499
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 739626
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City | DALLAS
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State | TX
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Zip | 75373-9626
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Country | US
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Telephone | 800-959-5509
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAMES THOMAS KREGER
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Credential |
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Telephone | 502-418-4700
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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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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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