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General NPI Number Information
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NPI Number | 1093846628
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Entity Type | Organization
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Legal Business Name | ANESTHESIA CARE CONSULTANTS INC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 1900 SULLIVAN AVE STE 4
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City | DALY CITY
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State | CA
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Zip | 94015-2200
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Country | US
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Telephone | 408-354-9254
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Fax | 918-213-4399
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Provider Business Mailing Address
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Address Line | PO BOX 33285
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City | LOS GATOS
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State | CA
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Zip | 95031-3285
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Country | US
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Telephone | 408-354-9254
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Fax | 918-213-4399
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRISTOPHER A VIALE
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Credential | MD
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Telephone | 408-354-9254
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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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