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General NPI Number Information
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NPI Number | 1518070416
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Entity Type | Organization
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Legal Business Name | ANESTHESIA CONSULTING SERVICES, PA
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 929 N SAINT FRANCIS ST
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City | WICHITA
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State | KS
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Zip | 67214-3821
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Country | US
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Telephone | 316-268-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2897
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City | WICHITA
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State | KS
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Zip | 67201-2897
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Country | US
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Telephone | 877-649-7812
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Fax | 918-392-2941
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Authorized Official
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Title or Position | PRESIDENT
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Name | GERALD MICHAEL CAUGHLIN
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Credential | M.D.
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Telephone | 316-634-0857
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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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