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General NPI Number Information
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NPI Number | 1205862992
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Entity Type | Organization
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Legal Business Name | VOLUSIA ANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 311 N CLYDE MORRIS BLVD # 350
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2781
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Country | US
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Telephone | 386-255-1266
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Fax | 386-255-8520
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Provider Business Mailing Address
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Address Line | 311 N CLYDE MORRIS BLVD # 350
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2781
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Country | US
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Telephone | 386-255-1266
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Fax | 386-255-8520
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT WILLIAMS
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Credential | M.D.
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Telephone | 386-255-1266
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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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