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General NPI Number Information
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NPI Number | 1528537719
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Entity Type | Organization
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Legal Business Name | CEP AMERICA - ANESTHESIA PC
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Dates
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Enumeration Date | 11/16/2018
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 3475 GS RICHARDS BLVD STE 110
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City | CARSON CITY
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State | NV
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Zip | 89703-8462
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Country | US
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Telephone | 775-885-7726
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 POWELL ST STE 900
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City | EMERYVILLE
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State | CA
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Zip | 94608-1844
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Country | US
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Telephone | 510-350-2680
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Fax | 510-879-9074
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Authorized Official
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Title or Position | COO
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Name | DAVID BIRDSALL
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Credential | MD
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Telephone | 510-350-2600
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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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