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General NPI Number Information
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NPI Number | 1235250846
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Entity Type | Organization
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Legal Business Name | HCC ANESTHESIA SERVICES, LLC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 218 SANDY SPRINGS PL NE
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-3812
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Country | US
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Telephone | 404-257-0611
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Fax | 404-257-1289
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Provider Business Mailing Address
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Address Line | 218 SANDY SPRINGS PL NE
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-3812
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Country | US
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Telephone | 404-257-0611
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Fax | 404-257-1289
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Authorized Official
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Title or Position | DIRECTOR
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Name | PORTIA GAIL WALKER
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Credential |
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Telephone | 404-257-0611
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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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