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General NPI Number Information
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NPI Number | 1538823141
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Entity Type | Organization
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Legal Business Name | RC ANESTHESIA SERVICES LLC
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 10 TIMBERVIEW LN
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City | RUSSELL
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State | PA
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Zip | 16345-4150
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Country | US
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Telephone | 814-757-5819
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Fax | 847-575-5829
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Provider Business Mailing Address
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Address Line | 1410 AUSTIN HILL RD
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City | SHEFFIELD
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State | PA
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Zip | 16347-2430
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Country | US
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Telephone | 814-730-5588
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBIN LEE COPLEY
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Credential | CRNA
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Telephone | 814-730-5588
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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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Taxonomy #2
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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