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General NPI Number Information
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NPI Number | 1730332610
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Entity Type | Organization
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Legal Business Name | GI ANESTHESIA, LLC
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 4340 CLYO RD STE 200
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City | DAYTON
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State | OH
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Zip | 45459-7000
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Country | US
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Telephone | 937-534-7330
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Fax | 937-395-3682
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Provider Business Mailing Address
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Address Line | 4340 CLYO RD STE 200
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City | DAYTON
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State | OH
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Zip | 45459-7000
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Country | US
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Telephone | 937-534-7330
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Fax | 937-395-3682
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | JOAN SERVIS
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Credential |
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Telephone | 937-396-2602
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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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