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General NPI Number Information
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NPI Number | 1568143469
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Entity Type | Organization
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Legal Business Name | ASPEN ANESTHESIA SERVICES PAIN EXPERTS AND NURSING NETWORKS INC
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 4270 WILBUR CT
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City | HEMET
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State | CA
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Zip | 92544-1892
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Country | US
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Telephone | 870-897-1774
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Fax |
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Provider Business Mailing Address
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Address Line | 4270 WILBUR CT
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City | HEMET
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State | CA
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Zip | 92544-1892
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Country | US
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Telephone | 870-897-1774
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KELLY KAIULANI NORRIS
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Credential | CRNA
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Telephone | 951-282-0036
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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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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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