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General NPI Number Information
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NPI Number | 1033881974
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Entity Type | Organization
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Legal Business Name | ASTUTE ANESTHESIA SERVICES, LLC
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 18301 N 79TH AVE STE F170
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City | GLENDALE
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State | AZ
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Zip | 85308-6338
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Country | US
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Telephone | 602-325-2020
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Fax | 602-714-7274
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Provider Business Mailing Address
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Address Line | 18301 N 79TH AVE STE F170
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City | GLENDALE
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State | AZ
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Zip | 85308-6338
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Country | US
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Telephone | 602-325-2020
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Fax | 602-714-7274
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Authorized Official
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Title or Position | OWNER
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Name | ANTONY WAWERU
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Credential | CRNA
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Telephone | 602-325-2020
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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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