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General NPI Number Information
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NPI Number | 1356451850
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Entity Type | Organization
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Legal Business Name | PRIME CARE ANESTHESIA, PLLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 2009 CYNTHIA COURT
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City | ABILENE
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State | TX
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Zip | 79602-5245
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Country | US
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Telephone | 325-829-7799
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 CYNTHIA COURT
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City | ABILENE
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State | TX
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Zip | 79602-5245
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Country | US
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Telephone | 325-829-7799
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM D REED
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Credential | CRNA
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Telephone | 325-829-7799
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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 | 231244
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License Number State | TX
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