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General NPI Number Information
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NPI Number | 1104962125
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Entity Type | Organization
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Legal Business Name | J&L ANESTHESIA INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 09/10/2008
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Provider Practice Location Address
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Address Line | 736 WILMINGTON ISLAND RD SUITE A
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City | SAVANNAH
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State | GA
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Zip | 31410-4502
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Country | US
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Telephone | 912-844-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 736 WILMINGTON ISLAND RD SUITE A
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City | SAVANNAH
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State | GA
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Zip | 31410-4502
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Country | US
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Telephone | 912-844-9900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF J&L ANESTHESIA
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Name | MRS. JOHANNA MARIE MALEKI
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Credential | CRNA
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Telephone | 912-844-9900
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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 | GA
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