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General NPI Number Information
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NPI Number | 1306083498
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Entity Type | Organization
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Legal Business Name | APPALACHIAN ANESTHESIA AND ANALGESIA SERVICES PLLC
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 100 JOHN SUTHERLAND DR SUITE 6A
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-2424
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Country | US
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Telephone | 859-305-6353
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Fax | 859-305-6443
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Provider Business Mailing Address
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Address Line | 100 JOHN SUTHERLAND DR SUITE 6A
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-2424
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Country | US
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Telephone | 859-305-6353
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Fax | 859-305-6443
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. MAZHAR RASUL
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Credential | M.D.
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Telephone | 859-305-6353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 37590
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License Number State | KY
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