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General NPI Number Information
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NPI Number | 1457271355
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Entity Type | Organization
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Legal Business Name | WAKE ANESTHESIA CONSULTANTS LLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 100 NE 85TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-3916
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Country | US
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Telephone | 405-631-3085
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Fax | 405-616-2679
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Provider Business Mailing Address
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Address Line | ID#2011 PO BOX 659506
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City | SAN ANTONIO
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State | TX
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Zip | 78265-9506
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Country | US
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Telephone | 405-631-3085
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Fax | 405-616-2679
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN E BLICK
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Credential | MD
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Telephone | 405-631-3085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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