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General NPI Number Information
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NPI Number | 1699955252
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Entity Type | Organization
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Legal Business Name | REDWOOD ANESTHESIA SERVICES, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/11/2007
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 2700 DOLBEER ST
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City | EUREKA
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State | CA
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Zip | 95501-4736
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Country | US
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Telephone | 707-497-6226
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7070
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City | EUREKA
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State | CA
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Zip | 95502-7070
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Country | US
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Telephone | 707-497-6226
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RASOUL SCHOLZ
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Credential | M.D.
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Telephone | 707-442-0260
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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 | A77903
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License Number State | CA
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