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General NPI Number Information
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NPI Number | 1588921225
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Entity Type | Organization
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Legal Business Name | COLUMBIA OUTPATIENT SEDATION LLC
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 7120 MINSTREL WAY STE 100
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City | COLUMBIA
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State | MD
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Zip | 21045-5248
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Country | US
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Telephone | 410-290-6677
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 200517
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City | DALLAS
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State | TX
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Zip | 75320-0517
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Country | US
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Telephone | 571-535-2502
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Fax | 571-401-1975
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Authorized Official
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Title or Position | MEMBER
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Name | RUDRAJIT M. RAI
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Credential | MD
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Telephone | 410-290-6677
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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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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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