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General NPI Number Information
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NPI Number | 1225977366
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Entity Type | Organization
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Legal Business Name | PRESIDIO ANESTHESIA GROUP PC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 3045 DE LA VINA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3351
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Country | US
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Telephone | 805-569-3226
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 E ROSE GARDEN LN UNIT 72210
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City | PHOENIX
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State | AZ
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Zip | 85050-7749
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MEGHAN GIBSON
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Credential |
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Telephone | 602-301-9259
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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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Taxonomy #2
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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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