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General NPI Number Information
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NPI Number | 1215780580
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Entity Type | Organization
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Legal Business Name | SARASOTA PREMIER ANESTHESIA LLC
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 983 S BENEVA RD
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City | SARASOTA
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State | FL
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Zip | 34232-2401
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Country | US
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Telephone | 941-365-5355
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 738518
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City | DALLAS
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State | TX
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Zip | 75373-8518
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Country | US
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Telephone | 888-717-5383
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Fax | 706-850-7733
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Authorized Official
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Title or Position | MANAGER
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Name | JEFF PERRY
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Credential |
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Telephone | 502-418-4700
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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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