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NPI 1417067885

NPI 1417067885 : PASPOINT ANESTHESIA, PLLC : OCEAN SPRINGS, MS

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General NPI Number Information
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    NPI Number           |    1417067885
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    Entity Type          |    Organization 
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    Legal Business Name  |    PASPOINT ANESTHESIA, PLLC 
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Dates
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    Enumeration Date     |    08/30/2006
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    Last Update Date     |    05/20/2008
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Provider Practice Location Address
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    Address Line         |    3882 BIENVILLE BLVD 
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    City                 |    OCEAN SPRINGS
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    State                |    MS
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    Zip                  |    39564-5803
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    Country              |    US
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    Telephone            |    228-872-6290
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    Fax                  |    228-762-0065
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1432 
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    City                 |    PASCAGOULA
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    State                |    MS
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    Zip                  |    39568-1432
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    Country              |    US
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    Telephone            |    228-762-9080
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    Fax                  |    228-762-0065
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. HAZEL  MOLDEN 
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    Credential           |    
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    Telephone            |    228-762-9080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP3300X
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    Taxonomy Name        |    Pain Clinic/Center
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    License Number       |    09345
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    License Number State |    MS
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Taxonomy #2
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    Taxonomy Code        |    261QE0800X
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    Taxonomy Name        |    Endoscopy Clinic/Center
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    License Number       |    09345
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    License Number State |    MS
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