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NPI 1295151595

NPI 1295151595 : PERIOPERATIVE CARE OF AMERICA PC : BISHOP, CA

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General NPI Number Information
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    NPI Number           |    1295151595
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    Entity Type          |    Organization 
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    Legal Business Name  |    PERIOPERATIVE CARE OF AMERICA PC 
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Dates
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    Enumeration Date     |    03/11/2014
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    Last Update Date     |    03/11/2014
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Provider Practice Location Address
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    Address Line         |    150 PIONEER LN 
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    City                 |    BISHOP
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    State                |    CA
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    Zip                  |    93514-2556
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    Country              |    US
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    Telephone            |    408-464-6265
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2385 APACHE DR 
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    City                 |    BISHOP
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    State                |    CA
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    Zip                  |    93514-1996
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    Country              |    US
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    Telephone            |    408-464-6265
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ANTHONY  SCHAPERA 
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    Credential           |    M.D.
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    Telephone            |    408-464-6265
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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       |    A41838
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    License Number State |    CA
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