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NPI 1407642945

NPI 1407642945 : ASCEND ANESTHESIA LLC : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1407642945
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASCEND ANESTHESIA LLC 
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Dates
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    Enumeration Date     |    04/18/2025
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    Last Update Date     |    04/23/2025
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Provider Practice Location Address
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    Address Line         |    2611 W CAREFREE HWY 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85085-8862
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    Country              |    US
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    Telephone            |    623-213-8609
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 41550 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85080-1550
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    Country              |    US
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    Telephone            |    480-773-1803
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     BRETT  MCLAUGHLIN 
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    Credential           |    
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    Telephone            |    480-773-1803
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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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Taxonomy #2
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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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