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General NPI Number Information
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NPI Number | 1407038490
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Entity Type | Organization
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Legal Business Name | PEAK ANESTHESIA SERVICES INC.
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 12/08/2009
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Provider Practice Location Address
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Address Line | 300 N WILLSON AVE SAME DAY SURGERY CENTER
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City | BOZEMAN
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State | MT
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Zip | 59715-3551
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Country | US
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Telephone | 406-586-1956
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Fax | 406-587-7656
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Provider Business Mailing Address
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Address Line | 300 N WILLSON AVE SAME DAY SURGERY CENTER
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City | BOZEMAN
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State | MT
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Zip | 59715-3551
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Country | US
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Telephone | 406-586-1956
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Fax | 406-587-7656
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LAURI LOUISE FERRARO
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Credential | CRNA
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Telephone | 406-585-8428
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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 | 23075
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License Number State | MT
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