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General NPI Number Information
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NPI Number | 1598302945
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Entity Type | Organization
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Legal Business Name | VERICON ANESTHESIA PLLC
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 4708 ALLIANCE BLVD STE 210
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City | PLANO
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State | TX
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Zip | 75093-5337
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Country | US
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Telephone | 469-800-6021
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Fax | 469-304-0139
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Provider Business Mailing Address
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Address Line | PO BOX 1889
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City | MUNCIE
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State | IN
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Zip | 47308-1889
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Country | US
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Telephone | 765-284-0493
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTH OFFICIAL
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Name | ERIC T ANDERSON
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Credential |
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Telephone | 312-221-5418
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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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