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General NPI Number Information
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NPI Number | 1487529129
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Entity Type | Organization
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Legal Business Name | AXON ANESTH INC
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 22588 SCENIC LOOP RD
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City | SAN ANTONIO
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State | TX
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Zip | 78255-2253
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Country | US
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Telephone | 651-492-2137
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Fax |
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Provider Business Mailing Address
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Address Line | 22588 SCENIC LOOP RD
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City | SAN ANTONIO
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State | TX
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Zip | 78255-2253
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Country | US
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Telephone | 651-492-2137
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALEXANDER CARR
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Credential |
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Telephone | 651-492-2137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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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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