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General NPI Number Information
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NPI Number | 1457295362
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER ANESTHESIA LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 5470 KIETZKE LN STE 300
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City | RENO
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State | NV
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Zip | 89511-2099
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Country | US
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Telephone | 877-416-7174
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Fax | 877-416-7174
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Provider Business Mailing Address
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Address Line | 5470 KIETZKE LN STE 300
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City | RENO
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State | NV
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Zip | 89511-2099
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Country | US
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Telephone | 877-416-7174
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Fax | 877-416-7174
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BROOKS HEMINGER
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Credential | MD
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Telephone | 877-416-7174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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