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General NPI Number Information
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NPI Number | 1235660002
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Entity Type | Organization
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Legal Business Name | RED ROCK ANESTHESIA CONSULTANTS LLC
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 304 S JONES BLVD # 884
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City | LAS VEGAS
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State | NV
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Zip | 89107-2623
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Country | US
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Telephone | 702-900-4085
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 561077
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City | DENVER
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State | CO
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Zip | 80256-1077
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Country | US
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Telephone | 908-965-3939
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | FAIZAN WAHEED
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Credential |
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Telephone | 315-975-3500
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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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