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General NPI Number Information
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NPI Number | 1255768107
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Entity Type | Organization
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Legal Business Name | SOUTHWEST OHIO ANESTHESIA CONSULTANTS LLC
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Dates
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Enumeration Date | 10/08/2013
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Last Update Date | 01/04/2018
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Provider Practice Location Address
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Address Line | 4415 AICHOLTZ RD
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City | CINCINNATI
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State | OH
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Zip | 45245-1506
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Country | US
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Telephone | 859-341-7246
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Fax | 859-341-7867
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Provider Business Mailing Address
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Address Line | 4665 CORNELL RD STE 119
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City | BLUE ASH
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State | OH
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Zip | 45241-2455
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Country | US
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Telephone | 513-265-5989
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEE STEPHEN MEGOIS
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Credential | MD
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Telephone | 859-341-7246
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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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Taxonomy #2
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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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