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General NPI Number Information
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NPI Number | 1376536490
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Entity Type | Organization
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Legal Business Name | QUEEN CITY ANESTHESIOLOGISTS INC
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2446 KIPLING AVE
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City | CINCINNATI
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State | OH
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Zip | 45239-6650
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Country | US
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Telephone | 513-672-3300
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Fax | 513-672-3323
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Provider Business Mailing Address
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Address Line | 200 NORTHLAND BLVD
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City | CINCINNATI
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State | OH
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Zip | 45246-3604
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Country | US
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Telephone | 513-672-3300
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Fax | 513-672-3323
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM P BECKMEYER
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Credential | MD
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Telephone | 513-672-4111
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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 | OH
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