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General NPI Number Information
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NPI Number | 1639176381
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Entity Type | Organization
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Legal Business Name | ANESTHESIA RELIEF LLC
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 79-1019 HAUKAPILA ST
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City | KEALAKEKUA
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State | HI
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Zip | 96750-7920
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Country | US
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Telephone | 808-322-9311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1840
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City | KAILUA KONA
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State | HI
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Zip | 96745-1840
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Country | US
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Telephone | 808-325-6760
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Fax | 808-443-0159
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Authorized Official
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Title or Position | PRESIDENT
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Name | LENORE E RICK
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Credential | CRNA
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Telephone | 808-325-6760
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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 | APRN286
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License Number State | HI
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