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General NPI Number Information
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NPI Number | 1538871140
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Entity Type | Organization
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Legal Business Name | KEECO ANESTHESIA INC.
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 321 N KUAKINI ST STE 714
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City | HONOLULU
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State | HI
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Zip | 96817-2362
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Country | US
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Telephone | 808-528-3606
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Fax |
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Provider Business Mailing Address
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Address Line | 208 MUIR WOODS DR
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City | CARY
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State | NC
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Zip | 27513-1708
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | YEE L KWAN
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Credential | CRNA
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Telephone | 919-886-4888
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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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