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General NPI Number Information
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NPI Number | 1548976525
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Entity Type | Organization
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Legal Business Name | CRYSTAL RIVER ANESTHESIA ASSOCIATES, LLC
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 3621 E FOREST DR
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City | INVERNESS
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State | FL
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Zip | 34453-0787
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Country | US
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Telephone | 352-637-2787
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 739570
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City | DALLAS
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State | TX
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Zip | 75373-9568
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Country | US
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Telephone | 425-803-3885
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Fax |
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Authorized Official
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Title or Position | VP REVENUE CYCLE MANAGEMENT
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Name | JEFF PERRY
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Credential |
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Telephone | 502-418-4700
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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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