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General NPI Number Information
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NPI Number | 1033406160
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE ANESTHESIA SERVICES LLP
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | 108 FINANCIAL PL
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-8449
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Country | US
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Telephone | 270-737-5200
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Fax | 270-737-2422
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Provider Business Mailing Address
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Address Line | 108 FINANCIAL PL
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-8449
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Country | US
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Telephone | 270-737-5200
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Fax | 270-737-2422
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL KUO
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Credential | MD
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Telephone | 270-737-5200
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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 | 26059
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License Number State | KY
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