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General NPI Number Information
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NPI Number | 1134311319
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Entity Type | Organization
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Legal Business Name | ANESTHESIA SPECIALISTS OF ORANGE COUNTY, INC.
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 1211 W LA PALMA AVE SUITE 209
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City | ANAHEIM
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State | CA
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Zip | 92801-2815
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Country | US
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Telephone | 877-594-2787
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Fax | 858-505-7101
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Provider Business Mailing Address
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Address Line | PO BOX 51493
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City | ONTARIO
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State | CA
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Zip | 91761-0093
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Country | US
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Telephone | 877-594-2787
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Fax | 858-505-7101
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERNESTO P. GIDAYA JR.
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Credential | M.D.
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Telephone | 310-600-4662
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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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