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General NPI Number Information
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NPI Number | 1518667062
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Entity Type | Organization
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Legal Business Name | SLOTHWORKS ANESTHESIA
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 117 1/2 ROSEMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90026-5299
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Country | US
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Telephone | 763-772-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 117 1/2 ROSEMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90026-5299
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Country | US
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Telephone | 763-772-3010
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADAM CHRISTOPHER SCHENK
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Credential |
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Telephone | 763-772-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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