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General NPI Number Information
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NPI Number | 1295533156
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Entity Type | Organization
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Legal Business Name | ANESTHESIA LOGISTICS SPECIALISTS LLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 3107 W CAMP WISDOM RD STE 189
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City | DALLAS
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State | TX
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Zip | 75237-2638
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Country | US
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Telephone | 765-284-0493
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1889
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City | MUNCIE
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State | IN
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Zip | 47308-1889
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Country | US
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Telephone | 765-284-0493
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER CRNA
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Name | ANGLEA SMITH
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Credential | CRNA
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Telephone | 318-469-4470
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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 | NULL
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