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General NPI Number Information
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NPI Number | 1568749570
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE ANESTHESIA CONSULTANTS OF NORTHERN CALIFORNIA PC
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 550 B ST
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City | YUBA CITY
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State | CA
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Zip | 95991-5067
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Country | US
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Telephone | 800-736-0555
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Fax | 949-588-2199
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Provider Business Mailing Address
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Address Line | 5 HOLLAND STE 101
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City | IRVINE
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State | CA
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Zip | 92618-2568
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Country | US
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Telephone | 949-588-2190
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Fax | 949-588-2199
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIRVANA KUNDU
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Credential | MD
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Telephone | 949-588-2190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A101808
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 544481
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License Number State | CA
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