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General NPI Number Information
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NPI Number | 1174792261
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Entity Type | Organization
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Legal Business Name | EMPIRE ANESTHESIA INC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 06/30/2024
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Provider Practice Location Address
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Address Line | 5201 NORRIS CANYON RD STE 100
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City | SAN RAMON
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State | CA
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Zip | 94583-5410
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Country | US
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Telephone | 925-973-0605
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Fax | 925-973-0653
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Provider Business Mailing Address
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Address Line | PO BOX 25033
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City | SANTA ANA
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State | CA
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Zip | 92799-5033
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Country | US
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Telephone | 714-347-1010
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Fax | 714-347-1082
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBIN M DENNINGS
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Credential | M.D.
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Telephone | 714-347-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | FNP 37065
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | FNP 37065
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License Number State | CA
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