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NPI 1285660704

NPI 1285660704 : VALLEY ANESTHESIOLOGY CONSULTANTS, INC. : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1285660704
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    Entity Type          |    Organization 
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    Legal Business Name  |    VALLEY ANESTHESIOLOGY CONSULTANTS, INC. 
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Dates
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    Enumeration Date     |    06/25/2006
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    Last Update Date     |    08/12/2025
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Provider Practice Location Address
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    Address Line         |    2262 E ROSE GARDEN LN 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85024-4497
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    Country              |    US
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    Telephone            |    954-939-5000
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    Fax                  |    877-250-6889
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Provider Business Mailing Address
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    Address Line         |    PO BOX 740557 DEPT 10016
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90074-0557
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    Country              |    US
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    Telephone            |    954-939-5000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     CHRISTOPHER  KENNEDY 
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    Credential           |    
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    Telephone            |    207-807-9009
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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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