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General NPI Number Information
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NPI Number | 1104974948
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Entity Type | Organization
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Legal Business Name | ROYAL ANESTHESIA SERVICES, PC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 720 N LINCOLN ST
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City | GREENSBURG
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State | IN
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Zip | 47240-1327
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Country | US
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Telephone | 812-934-5974
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Fax | 812-934-5974
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | BATESVILLE
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State | IN
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Zip | 47006-0249
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Country | US
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Telephone | 812-934-5974
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Fax | 812-934-5974
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Authorized Official
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Title or Position | OWNER
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Name | ANDRES PICHARDO
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Credential | MD
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Telephone | 812-934-5974
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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 | 01032603
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License Number State | IN
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