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General NPI Number Information
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NPI Number | 1497856801
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Entity Type | Organization
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Legal Business Name | COLUMBUS ANESTHESIA PC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4401 S 650 W
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City | COLUMBUS
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State | IN
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Zip | 47201-1548
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Country | US
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Telephone | 812-342-1050
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Fax | 812-342-9620
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Provider Business Mailing Address
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Address Line | 4401 S 650 W
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City | COLUMBUS
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State | IN
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Zip | 47201-1548
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Country | US
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Telephone | 812-342-1050
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Fax | 812-342-9620
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT C JEFFREY
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Credential | MD
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Telephone | 812-342-1050
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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 | 50001451A
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License Number State | IN
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