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General NPI Number Information
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NPI Number | 1043699556
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Entity Type | Organization
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Legal Business Name | REST ASSURE NURSE ANESTHESIA INC
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 229 E BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-3776
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Country | US
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Telephone | 615-620-2320
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 291264
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City | NASHVILLE
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State | TN
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Zip | 37229-1264
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Country | US
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Telephone | 615-620-2320
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Fax |
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | SCOTT ROBERTS
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Credential |
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Telephone | 615-620-2324
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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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