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General NPI Number Information
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NPI Number | 1538407366
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Entity Type | Organization
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Legal Business Name | TREE CITY ANESTHESIA ASSOCIATES, P.A.
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 100 COTTONWOOD CT # D150
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City | EAGLE
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State | ID
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Zip | 83616-6576
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Country | US
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Telephone | 208-917-2713
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Fax | 208-955-2029
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Provider Business Mailing Address
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Address Line | 100 COTTONWOOD CT # D150
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City | EAGLE
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State | ID
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Zip | 83616-6576
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Country | US
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Telephone | 208-917-2713
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Fax | 208-955-2029
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA L COLEMAN
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Credential | CRNA
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Telephone | 208-917-2713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine 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 | 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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