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General NPI Number Information
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NPI Number | 1538105010
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Entity Type | Organization
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Legal Business Name | CAPITAL AREA ANESTHESIA PC
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 1749 HAMILTON RD STE 102E
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City | OKEMOS
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State | MI
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Zip | 48864-1941
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Country | US
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Telephone | 517-482-2118
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Fax | 517-482-6280
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Provider Business Mailing Address
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Address Line | 1749 HAMILTON RD STE 102E
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City | OKEMOS
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State | MI
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Zip | 48864-1941
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Country | US
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Telephone | 517-482-2118
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Fax | 517-482-6280
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THUAN LE
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Credential | MD
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Telephone | 517-482-2118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | MI
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Taxonomy #2
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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 | MI
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