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General NPI Number Information
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NPI Number | 1285382010
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Entity Type | Organization
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Legal Business Name | SALT CITY ANESTHESIA LLC
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Dates
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Enumeration Date | 03/10/2022
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 2100 N WALDRON ST STE 2
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City | HUTCHINSON
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State | KS
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Zip | 67502-1176
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Country | US
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Telephone | 620-833-0960
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Fax | 833-615-2260
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Provider Business Mailing Address
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Address Line | 14 OAKWOOD LN
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City | HUTCHINSON
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State | KS
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Zip | 67502-1800
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Country | US
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Telephone | 316-518-1726
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN J FLEEMAN
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Credential | DNAP
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Telephone | 316-518-1726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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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 | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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License Number |
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License Number State |
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