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General NPI Number Information
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NPI Number | 1598703951
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Entity Type | Organization
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Legal Business Name | MIDWEST PHYSICIAN ANESTHESIA SERVICES, INC.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 5151 REED ROAD SUITE 225-C
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City | COLUMBUS
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State | OH
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Zip | 43220-2595
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Country | US
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Telephone | 614-884-0641
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Fax | 614-884-0776
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Provider Business Mailing Address
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Address Line | 5151 REED ROAD SUITE 225-C
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City | COLUMBUS
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State | OH
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Zip | 43220-2595
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Country | US
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Telephone | 614-884-0641
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Fax | 614-884-0776
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. EILEEN M KROTINE
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Credential |
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Telephone | 614-457-2306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | OH
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Taxonomy #2
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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 | OH
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