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General NPI Number Information
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NPI Number | 1528305208
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Entity Type | Organization
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Legal Business Name | PEC ANESTHESIA LLC
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 1029 MAKOLU ST STE H
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City | PEARL CITY
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State | HI
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Zip | 96782-2890
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Country | US
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Telephone | 808-456-6420
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Fax |
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Provider Business Mailing Address
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Address Line | 14201 DALLAS PKWY
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City | DALLAS
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State | TX
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Zip | 75254-2916
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT BOARD OF MANAGERS
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Name | MR. DAVID W HOLST
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Credential |
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Telephone | 615-345-6900
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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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