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General NPI Number Information
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NPI Number | 1447207097
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Entity Type | Organization
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Legal Business Name | METROPOLITAN ANESTHESIA CONSULTANTS
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1420 E ROSEVILLE PARKWAY STE #100
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City | ROSEVILLE
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State | CA
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Zip | 95661
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Country | US
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Telephone | 916-677-2488
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Fax |
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Provider Business Mailing Address
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Address Line | 5530 BIRDCAGE STREET STE #145
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City | CITRUST HEIGHTS
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State | CA
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Zip | 95610
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Country | US
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Telephone | 209-956-7725
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Fax | 209-956-7733
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Authorized Official
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Title or Position | GROUP PRESIDENT
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Name | MR. JOHN MARTINEZ
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Credential | MD
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Telephone | 916-966-6544
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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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