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General NPI Number Information
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NPI Number | 1255978359
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Entity Type | Organization
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Legal Business Name | MOEHLE ANESTHESIOLOGY SERVICES LLC
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Dates
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Enumeration Date | 12/08/2019
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 11413 ASH ST STE 100
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City | LEAWOOD
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State | KS
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Zip | 66211-1692
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Country | US
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Telephone | 913-661-9977
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Fax | 913-661-9577
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Provider Business Mailing Address
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Address Line | 14219 KENNEDY RD
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City | GREENWOOD
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State | MO
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Zip | 64034-8234
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Country | US
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Telephone | 816-529-6463
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | KIMBERLY MOEHLE
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Credential | CRNA
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Telephone | 816-529-6463
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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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