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General NPI Number Information
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NPI Number | 1295316792
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Entity Type | Organization
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Legal Business Name | ALLEGIANCE ANESTHESIA SERVICES PC
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 518 SANDHURST DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4426
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Country | US
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Telephone | 910-339-8475
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Fax |
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Provider Business Mailing Address
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Address Line | 837 JUDSON CHURCH RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28312-9280
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Country | US
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Telephone | 910-987-1343
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Fax | 910-425-3077
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Authorized Official
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Title or Position | 0WNER/PRESIDENT
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Name | MRS. SHARON ELIZABETH TAYLOR
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Credential | CRNA
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Telephone | 910-987-1343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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