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General NPI Number Information
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NPI Number | 1578453205
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Entity Type | Organization
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Legal Business Name | RJB NURSING ANESTHESIA SERVICES INC
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Dates
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Enumeration Date | 07/04/2025
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 9090 WILSHIRE BLVD STE 102
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1848
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Country | US
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Telephone | 424-324-3274
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Fax |
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Provider Business Mailing Address
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Address Line | 4903 SANCOLA AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-4839
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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 | CEO
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Name | REVE BRANDER
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Credential | CRNA
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Telephone | 631-339-5015
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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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