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General NPI Number Information
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NPI Number | 1205300696
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Entity Type | Organization
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Legal Business Name | ARTISTRY ANESTHESIA ASSOCIATES LLC
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Dates
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Enumeration Date | 01/18/2019
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 1000 CENTRE BROOK CT
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City | COLUMBUS
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State | GA
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Zip | 31904-4573
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Country | US
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Telephone | 706-576-5939
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Fax |
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Provider Business Mailing Address
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Address Line | 1639 TEMPLE AVE
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City | COLLEGE PARK
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State | GA
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Zip | 30337-2819
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Country | US
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Telephone | 678-799-2396
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ARTHUR L. BAKER JR.
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Credential | CRNA
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Telephone | 678-799-2396
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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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