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General NPI Number Information
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NPI Number | 1033085394
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Entity Type | Organization
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Legal Business Name | ATLAS ANESTHESIA
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 411 N CAMPUS DR
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City | GARDEN CITY
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State | KS
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Zip | 67846-6195
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Country | US
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Telephone | 620-276-7699
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Fax |
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Provider Business Mailing Address
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Address Line | 2104 INLAND AVE
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City | GARDEN CITY
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State | KS
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Zip | 67846-7071
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Country | US
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Telephone | 785-639-5456
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Fax | 785-639-5456
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Authorized Official
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Title or Position | ANESTHESIA
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Name | MARC ALAN POLSON
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Credential | CRNA
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Telephone | 785-639-5456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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