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General NPI Number Information
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NPI Number | 1154349827
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Entity Type | Organization
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Legal Business Name | SOUTHERN INDIANA ANESTHESIA CONSULTANTS, PLLC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 1850 STATE ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-4990
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Country | US
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Telephone | 502-690-8782
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Fax | 502-459-0923
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Provider Business Mailing Address
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Address Line | PO BOX 70101
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City | LOUISVILLE
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State | KY
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Zip | 40270-0101
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Country | US
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Telephone | 502-690-8782
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Fax | 502-459-0923
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRY H MILLER
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Credential | M.D.
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Telephone | 502-690-8782
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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 | 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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