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General NPI Number Information
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NPI Number | 1225830466
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Entity Type | Organization
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Legal Business Name | ION ANESTHESIA SERVICES PLLC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 18701 N 67TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85308-7100
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Country | US
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Telephone | 602-488-4567
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Fax | 623-572-7495
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Provider Business Mailing Address
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Address Line | 6635 W HAPPY VALLEY RD STE A104
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City | GLENDALE
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State | AZ
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Zip | 85310-2609
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Country | US
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Telephone | 602-488-4567
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Fax | 623-572-7495
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW DAWSON
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Credential | CRNA
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Telephone | 602-488-4567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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