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General NPI Number Information
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NPI Number | 1730137431
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Entity Type | Organization
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Legal Business Name | NORTHCOAST ANESTHESIA PROVIDERS INC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 3800 JANES RD
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City | ARCATA
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State | CA
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Zip | 95521-4742
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Country | US
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Telephone | 214-842-3351
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Fax | 707-442-4949
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Provider Business Mailing Address
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Address Line | PO BOX 35142
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City | SEATTLE
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State | WA
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Zip | 98124-5142
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Country | US
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Telephone | 707-442-4848
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN JEFFREY FISCHEL
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Credential | MD
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Telephone | 214-842-3351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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