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General NPI Number Information
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NPI Number | 1215546858
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Entity Type | Organization
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Legal Business Name | B&L ANESTHESIA
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 5006 WOODLAWN ST
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City | DULUTH
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State | MN
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Zip | 55804-1180
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Country | US
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Telephone | 507-398-6313
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Fax |
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Provider Business Mailing Address
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Address Line | 5006 WOODLAWN ST
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City | DULUTH
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State | MN
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Zip | 55804-1180
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Country | US
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Telephone | 507-398-6313
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATALIE N JOHNSON
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Credential | CRNA
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Telephone | 507-398-6313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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