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General NPI Number Information
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NPI Number | 1700830916
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Entity Type | Organization
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Legal Business Name | ASHLAND ANESTHESIA, P.S.C.
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 1000 SAINT CHRISTOPHER DR
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City | ASHLAND
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State | KY
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Zip | 41101-7034
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Country | US
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Telephone | 606-833-3791
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29
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City | ASHLAND
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State | KY
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Zip | 41105-0029
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Country | US
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Telephone | 877-416-4452
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL NESTOR
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Credential | M.D.
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Telephone | 606-833-3791
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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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Taxonomy #2
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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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