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General NPI Number Information
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NPI Number | 1699973321
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Entity Type | Organization
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Legal Business Name | DESERT OASIS ANESTHESIOLOGY LLC
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 6453 INDIGO BUNTING PL
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-8246
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Country | US
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Telephone | 602-273-6770
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Fax | 602-889-0489
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Provider Business Mailing Address
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Address Line | 6453 INDIGO BUNTING PL
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-8246
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Country | US
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Telephone | 602-273-6770
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Fax | 602-889-0489
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DANIEL PATRICK SMITH
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Credential | M.D.
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Telephone | 602-273-6770
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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 | ME98899
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License Number State | FL
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