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General NPI Number Information
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NPI Number | 1649479361
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Entity Type | Organization
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Legal Business Name | DOUGLAS ANESTHESIA ASSOCIATES, PLLC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 412 DEVONIA ST
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City | HARRIMAN
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State | TN
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Zip | 37748-2009
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Country | US
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Telephone | 865-882-1323
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Fax |
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Provider Business Mailing Address
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Address Line | 4030 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37919-5219
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA LOIS DOUGLAS
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Credential | CRNA
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Telephone | 865-607-4992
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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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