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General NPI Number Information
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NPI Number | 1588739031
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Entity Type | Organization
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Legal Business Name | LARGO ANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2025 INDIAN ROCKS RD S ANESTHESIA DEPARTMENT
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City | LARGO
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State | FL
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Zip | 33774-1035
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Country | US
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Telephone | 727-446-5150
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Fax | 727-446-6889
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Provider Business Mailing Address
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Address Line | PO BOX 869
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City | LARGO
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State | FL
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Zip | 33779-0869
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Country | US
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Telephone | 727-446-5150
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Fax | 727-446-6889
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Authorized Official
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Title or Position | CHIEF ANESTHESIOLOGIST
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Name | DR. CATHY BALBIN
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Credential | D.O.
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Telephone | 727-446-5150
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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 | 207L00000X
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License Number State | FL
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