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General NPI Number Information
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NPI Number | 1487807012
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Entity Type | Organization
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Legal Business Name | WARRENSBURG ANESTHESIA & PAIN TREATMENT, LLC
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 403 BURKARTH RD
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City | WARRENSBURG
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State | MO
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Zip | 64093-3101
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Country | US
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Telephone | 660-747-2500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 952248
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City | DALLAS
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State | TX
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Zip | 75395-0001
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Country | US
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Telephone | 201-804-2800
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Fax | 201-804-8883
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. STEVEN GOTTLIEB
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Credential | MD
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Telephone | 561-799-3552
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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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