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General NPI Number Information
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NPI Number | 1629781455
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Entity Type | Organization
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Legal Business Name | BATTLE BORN ANESTHESIA ASSOCIATES LTD
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Dates
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Enumeration Date | 12/26/2022
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 3269 N STOCKTON HILL RD
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City | KINGMAN
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State | AZ
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Zip | 86409-3619
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Country | US
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Telephone | 917-903-0010
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 JOHNSON AVE # 3037
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City | KINGMAN
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State | AZ
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Zip | 86401-6228
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Country | US
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Telephone | 702-292-3931
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Fax |
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Authorized Official
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Title or Position | MD
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Name | VU LUU
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Credential |
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Telephone | 917-903-0010
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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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