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General NPI Number Information
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NPI Number | 1720895535
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Entity Type | Organization
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Legal Business Name | MODERN ANESTHESIA AND BILLING SERVICES, LLC
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 2821 PROCTOR RD
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City | SARASOTA
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State | FL
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Zip | 34231-6443
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Country | US
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Telephone | 941-870-1872
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 542
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City | OSPREY
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State | FL
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Zip | 34229-0542
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DONG PHUOC TRAN
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Credential |
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Telephone | 779-475-1238
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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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