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General NPI Number Information
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NPI Number | 1508255571
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Entity Type | Organization
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Legal Business Name | SEDATE U LLC
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 4441 E MCDOWELL RD SUITE 101
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City | PHOENIX
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State | AZ
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Zip | 85008-4503
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Country | US
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Telephone | 602-273-6770
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Fax | 602-889-0483
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Provider Business Mailing Address
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Address Line | PO BOX 4442
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City | BEDFORD
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State | WY
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Zip | 83112-0442
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Country | US
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Telephone | 480-290-1460
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GEOFFREY KUZMICH
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Credential | CRNA
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Telephone | 480-290-1460
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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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