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General NPI Number Information
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NPI Number | 1265858740
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Entity Type | Organization
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Legal Business Name | MID FLORIDA ANESTHESIA
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Dates
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Enumeration Date | 03/08/2014
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Last Update Date | 03/08/2014
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Provider Practice Location Address
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Address Line | 1950 SW 18TH CT
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City | OCALA
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State | FL
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Zip | 34471-7857
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Country | US
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Telephone | 352-851-8555
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Fax | 352-401-0124
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Provider Business Mailing Address
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Address Line | 1950 SW 18TH CT
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City | OCALA
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State | FL
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Zip | 34471-7857
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Country | US
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Telephone | 352-851-8555
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Fax | 352-401-0124
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Authorized Official
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Title or Position | MANAGER
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Name | DR. THIMMIAH KUMAR
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Credential | MD
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Telephone | 352-851-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State | FL
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