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General NPI Number Information
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NPI Number | 1730667841
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Entity Type | Organization
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Legal Business Name | ALLIANCE ANESTHESIA ASSOCIATES INC
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 13100 STUDEBAKER RD
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City | NORWALK
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State | CA
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Zip | 90650-2531
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Country | US
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Telephone | 562-868-3751
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Fax | 562-929-3582
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Provider Business Mailing Address
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Address Line | PO BOX 25033
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City | SANTA ANA
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State | CA
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Zip | 92799-5033
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Country | US
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Telephone | 714-347-1000
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Fax | 714-795-6829
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FERNANDO GAVIA
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Credential | MD
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Telephone | 714-347-1010
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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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