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General NPI Number Information
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NPI Number | 1497854574
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Entity Type | Organization
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Legal Business Name | ANESTHESIA CONSULTANTS PC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 2720 STONE PARK BLVD
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City | SIOUX CITY
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State | IA
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Zip | 51104
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Country | US
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Telephone | 712-279-3500
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Fax | 847-615-2858
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Provider Business Mailing Address
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Address Line | PO BOX 683
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City | SIOUX CITY
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State | IA
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Zip | 51102-0683
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Country | US
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Telephone | 712-279-3500
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Fax | 847-615-2858
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JEFF HAYS
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Credential |
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Telephone | 847-615-2200
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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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