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General NPI Number Information
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NPI Number | 1679859144
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Entity Type | Organization
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Legal Business Name | SUNCOAST ANESTHESIA PARTNERS, LLC
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Dates
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Enumeration Date | 10/28/2011
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 2089 HAWTHORNE ST SUITE 100
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City | SARASOTA
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State | FL
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Zip | 34239-2308
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Country | US
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Telephone | 941-952-1145
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Fax | 941-952-1175
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Provider Business Mailing Address
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Address Line | PO BOX 919368
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City | ORLANDO
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State | FL
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Zip | 32891-9368
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Country | US
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Telephone | 888-337-3509
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Fax | 941-328-3997
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DOUGLAS ALAN KUPERMAN
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Credential | MD
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Telephone | 941-952-1145
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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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