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General NPI Number Information
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NPI Number | 1588622872
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Entity Type | Organization
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Legal Business Name | OWENSBORO ANESTHESIA SERVICES, PLLC
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 811 E PARRISH AVE
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City | OWENSBORO
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State | KY
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Zip | 42303-3258
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Country | US
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Telephone | 270-684-5005
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Fax | 270-926-4432
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Provider Business Mailing Address
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Address Line | 815 E PARRISH AVE SUITE 460
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City | OWENSBORO
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State | KY
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Zip | 42303-3222
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Country | US
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Telephone | 270-684-5005
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Fax | 270-926-4432
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Authorized Official
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Title or Position | MEMBER
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Name | PAUL ANTHONY GARNER
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Credential | M.D.
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Telephone | 270-684-5005
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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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