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General NPI Number Information
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NPI Number | 1578361044
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Entity Type | Organization
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Legal Business Name | PHS ANESTHESIA BILLING, LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | MIDDLETOWN
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State | OH
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Zip | 45005-2584
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Country | US
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Telephone | 513-974-2111
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Fax | 937-641-7267
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Provider Business Mailing Address
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Address Line | 110 N MAIN ST STE 350
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City | DAYTON
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State | OH
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Zip | 45402-3735
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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 | VP & CFO PC & FIDELITY MVHE FINANCE
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Name | RENEE MOCK
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Credential |
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Telephone | 937-499-5517
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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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