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General NPI Number Information
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NPI Number | 1356339121
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Entity Type | Organization
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Legal Business Name | GUNNISON ANESTHESIA SERVICES INC
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 112 W SPENCER AVE STE B
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City | GUNNISON
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State | CO
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Zip | 81230-2546
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Country | US
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Telephone | 303-422-9438
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 668
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City | ARVADA
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State | CO
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Zip | 80001-0668
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Country | US
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Telephone | 303-422-9438
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES WOELK
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Credential | CRNA
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Telephone | 970-596-9575
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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 | CO
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