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General NPI Number Information
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NPI Number | 1619444502
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Entity Type | Organization
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Legal Business Name | BMR ANESTHESIA PLLC
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1851 N 9TH AVE STE B
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City | PENSACOLA
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State | FL
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Zip | 32503-5201
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Country | US
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Telephone | 850-479-1805
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Fax |
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Provider Business Mailing Address
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Address Line | 400 10TH ST E
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City | WACONIA
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State | MN
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Zip | 55387-4552
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Country | US
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Telephone | 952-442-9770
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Fax | 952-442-3620
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | BOBBY RAY BEAL III
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Credential | CRNA
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Telephone | 205-292-5766
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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 |
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