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General NPI Number Information
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NPI Number | 1184722373
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Entity Type | Organization
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Legal Business Name | ANESTHESIA HEALTHCARE PARTNERS OF CONNECTICUT, LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 2200 WHITNEY AVENUE STE 380
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City | HAMDEN
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State | CT
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Zip | 06518-3602
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Country | US
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Telephone | 203-281-3636
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT 40112 PO BOX 740209
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City | ATLANTA
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State | GA
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Zip | 30374-0209
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | ROBIN L. VAN SPRUNDEL
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Credential |
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Telephone | 941-360-1566
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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 |
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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 |
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License Number State |
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