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General NPI Number Information
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NPI Number | 1104854124
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Entity Type | Organization
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Legal Business Name | ANESTHESIA SERVICES ASSOCIATES PLLC
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 131 SAUNDERSVILLE ROAD SUITE 160
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City | HENDERSONVILLE
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State | TN
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Zip | 37075
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Country | US
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Telephone | 615-824-3737
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Fax | 888-295-1610
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Provider Business Mailing Address
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Address Line | 131 SAUNDERSVILLE STE 160
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-8940
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Country | US
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Telephone | 615-824-3737
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Fax | 888-687-6133
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN REID DICKERSON
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Credential | MD
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Telephone | 615-824-3737
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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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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | TN
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