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General NPI Number Information
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NPI Number | 1649913237
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Entity Type | Organization
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Legal Business Name | SIESTA ANESTHESIA GROUP PC
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 2045 PEACHTREE RD NE STE T1
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City | ATLANTA
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State | GA
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Zip | 30309-1405
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Country | US
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Telephone | 678-701-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 2253 NORTHWEST PKWY SE
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City | MARIETTA
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State | GA
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Zip | 30067-8764
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Country | US
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Telephone | 678-701-2225
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | MRS. JENNIFER MCBEE
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Credential |
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Telephone | 678-701-2225
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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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