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General NPI Number Information
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NPI Number | 1205803095
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Entity Type | Organization
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Legal Business Name | GUARDIAN ANESTHESIA SERVICES, PC
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 04/24/2009
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Provider Practice Location Address
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Address Line | 4526 E 102ND ST
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City | TULSA
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State | OK
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Zip | 74137-5949
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Country | US
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Telephone | 918-299-4057
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 S GARNETT RD STE 919
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City | TULSA
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State | OK
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Zip | 74146-5229
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Country | US
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Telephone | 918-728-6145
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS A SINGLETARY
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Credential | MD
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Telephone | 918-299-4057
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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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