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General NPI Number Information
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NPI Number | 1306270806
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Entity Type | Organization
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Legal Business Name | QUANTUM ANESTHESIA SERVICES PA
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 11/15/2013
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Provider Practice Location Address
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Address Line | 931 TOPPINO DR
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City | KEY WEST
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State | FL
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Zip | 33040-4269
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Country | US
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Telephone | 239-489-3166
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Fax | 239-599-8477
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Provider Business Mailing Address
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Address Line | 5391 HICKORY WOOD DR
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City | NAPLES
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State | FL
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Zip | 34119-1404
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Country | US
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Telephone | 239-489-3166
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Fax | 239-599-8477
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY A LAWSON
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Credential | M.D.
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Telephone | 239-489-3166
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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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