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General NPI Number Information
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NPI Number | 1063339026
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Entity Type | Organization
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Legal Business Name | VALOR ANESTHESIA PLLC
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 11601 TOEPPERWEIN RD
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City | LIVE OAK
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State | TX
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Zip | 78233-3403
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Country | US
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Telephone | 706-271-0100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1764
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City | DALTON
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State | GA
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Zip | 30722-1764
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHNATHON LANNAN
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Credential | CRNA
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Telephone | 208-850-0247
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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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