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General NPI Number Information
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NPI Number | 1538404256
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Entity Type | Organization
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Legal Business Name | ANESTHESIA PROVIDER GROUP INC
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1035 S FAIR OAKS AVE STE 101
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City | PASADENA
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State | CA
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Zip | 91105-2653
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Country | US
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Telephone | 626-696-1400
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Fax | 626-696-1451
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Provider Business Mailing Address
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Address Line | 10565 CIVIC CENTER DR STE 250
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3854
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Country | US
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Telephone | 626-696-1400
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Fax | 626-696-1451
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Authorized Official
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Title or Position | CEO
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Name | DR. CLAYTON A VARGA
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Credential | M.D
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Telephone | 626-696-1400
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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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