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General NPI Number Information
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NPI Number | 1356468383
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Entity Type | Organization
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Legal Business Name | PHYSICIANS ANESTHESIA SERVICES PC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 11704 W CENTER RD STE 110
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City | OMAHA
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State | NE
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Zip | 68144-4327
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Country | US
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Telephone | 402-691-1575
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Fax | 402-341-8565
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Provider Business Mailing Address
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Address Line | 11704 W CENTER RD STE 110
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City | OMAHA
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State | NE
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Zip | 68144-4327
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Country | US
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Telephone | 402-691-1575
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Fax | 402-341-8565
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN P MOESSNER
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Credential | MD
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Telephone | 402-212-0847
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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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