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General NPI Number Information
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NPI Number | 1700508173
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Entity Type | Organization
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Legal Business Name | CLOUD ANESTHESIA LLC
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1101 MADISON ST STE 1280
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City | SEATTLE
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State | WA
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Zip | 98104-3510
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Country | US
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Telephone | 206-624-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 4564 SOMERSET BLVD SE
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City | BELLEVUE
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State | WA
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Zip | 98006-2220
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Country | US
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Telephone | 817-908-7161
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Fax | 817-908-7161
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Authorized Official
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Title or Position | NURSE ANESTHESIOLOGIST
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Name | JENNIFER ROSS TANGUAY
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Credential | CRNA
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Telephone | 817-908-7161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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