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General NPI Number Information
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NPI Number | 1326327420
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Entity Type | Organization
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Legal Business Name | BAY AREA CONSORTIUM OF ANESTHESIA SERVICES OF FL, LLC
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 13663 DEERING BAY DR
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City | CORAL GABLES
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State | FL
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Zip | 33158-2805
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Country | US
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Telephone | 281-461-4300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16786
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City | WEST PALM BEACH
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State | FL
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Zip | 33416-6786
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Country | US
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Telephone | 281-461-4300
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. NELSON KEITH BOND
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Credential | MD
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Telephone | 281-461-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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