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General NPI Number Information
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NPI Number | 1447785118
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Entity Type | Organization
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Legal Business Name | BISCAYNE ANESTHESIA LLC
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 5944 CORAL RIDGE DR # 170
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3300
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Country | US
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Telephone | 954-800-7350
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Fax | 954-827-0852
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Provider Business Mailing Address
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Address Line | 5944 CORAL RIDGE DR # 170
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3300
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Country | US
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Telephone | 954-800-7350
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Fax | 954-827-0852
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Authorized Official
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Title or Position | MANAGER
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Name | NICOLE ARENDT
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Credential |
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Telephone | 954-800-7350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | L17000093095
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License Number State | FL
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