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General NPI Number Information
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NPI Number | 1194025544
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Entity Type | Organization
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Legal Business Name | ANESTHESIA BILLING CENTER, LLC
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 5355 COMMERCE DR
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City | CROWN POINT
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State | IN
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Zip | 46307-5325
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Country | US
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Telephone | 219-756-0600
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Fax | 219-756-0608
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Provider Business Mailing Address
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Address Line | 5355 COMMERCE DR
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City | CROWN POINT
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State | IN
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Zip | 46307-5325
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Country | US
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Telephone | 219-756-0600
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Fax | 219-756-0608
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JEFFREY R YESSENOW
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Credential | M.D.
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Telephone | 219-756-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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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 | IN
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