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NPI 1730806449

NPI 1730806449 : TOTAL ANESTHESIA CARE INC : CONCORD, CA

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General NPI Number Information
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    NPI Number           |    1730806449
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOTAL ANESTHESIA CARE INC 
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Dates
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    Enumeration Date     |    10/24/2022
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    Last Update Date     |    10/24/2022
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Provider Practice Location Address
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    Address Line         |    2222 EAST ST STE 200 
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    City                 |    CONCORD
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    State                |    CA
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    Zip                  |    94520-2065
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    Country              |    US
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    Telephone            |    925-691-5000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2222 EAST ST STE 450 
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    City                 |    CONCORD
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    State                |    CA
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    Zip                  |    94520-2084
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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    |    DIRECTOR OF OPERATIONS
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    Name                 |     NOEL  RAYATKAH 
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    Credential           |    
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    Telephone            |    925-689-2580
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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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