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General NPI Number Information
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NPI Number | 1477958189
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Entity Type | Organization
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Legal Business Name | AMSURG MELBOURNE ANESTHESIA LLC
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1401 S APOLLO BLVD SUITE B
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City | MELBOURNE
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State | FL
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Zip | 32901-3179
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Country | US
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Telephone | 321-725-5151
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Fax | 615-234-1720
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Provider Business Mailing Address
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Address Line | 1A BURTON HILLS BLVD STE 300
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City | NASHVILLE
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State | TN
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Zip | 37215-6153
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Country | US
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Telephone | 615-240-3820
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Fax | 615-234-1720
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Authorized Official
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Title or Position | SR DIRECTOR OF RCM TRANSFORMATION
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Name | MRS. JEAN A. KOCHENDORFER
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Credential |
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Telephone | 615-263-4012
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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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