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General NPI Number Information
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NPI Number | 1396487971
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Entity Type | Organization
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Legal Business Name | THE ANESTHESIA COMPANY
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 950 BUTTE ST
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City | REDDING
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State | CA
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Zip | 96001-0827
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Country | US
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Telephone | 530-223-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 7154 W STATE ST STE 119
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City | BOISE
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State | ID
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Zip | 83714-7421
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Country | US
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Telephone | 505-280-0657
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DAVID NICHOLSON
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Credential | CRNA
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Telephone | 505-280-0657
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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 |
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