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General NPI Number Information
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NPI Number | 1467782748
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Entity Type | Organization
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Legal Business Name | RACINE ANESTHESIA SERVICES, LLC
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Dates
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Enumeration Date | 01/08/2010
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3801 SPRING ST
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City | RACINE
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State | WI
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Zip | 53405-1667
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Country | US
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Telephone | 412-937-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 7111 FAIRWAY DR STE 202
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-4205
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Country | US
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Telephone | 865-985-7062
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEVEN GOTTLIEB
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Credential | MD
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Telephone | 561-289-5010
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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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Taxonomy #2
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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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