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General NPI Number Information
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NPI Number | 1427483171
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Entity Type | Organization
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Legal Business Name | RBO ANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 3161 HOWELL MILL RD NW SUITE 300
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City | ATLANTA
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State | GA
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Zip | 30327-2135
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Country | US
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Telephone | 404-772-9209
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 669
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City | ALPHARETTA
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State | GA
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Zip | 30009-0669
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE
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Name | JANESSA LEVY
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Credential |
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Telephone | 404-351-6307
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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 | 63721
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License Number State | GA
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