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General NPI Number Information
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NPI Number | 1679552640
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Entity Type | Organization
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Legal Business Name | ADVANCED ANESTHESIA ASSOCIATES, PLLC
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 700 COOPER AVE
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City | SAGINAW
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State | MI
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Zip | 48602-5383
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Country | US
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Telephone | 989-583-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 4344 STATE ST
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City | SAGINAW
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State | MI
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Zip | 48603-4074
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Country | US
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Telephone | 989-791-0452
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Fax | 989-791-2007
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. MICHELE A. HOWELL
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Credential |
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Telephone | 989-791-0452
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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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