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General NPI Number Information
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NPI Number | 1730957804
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Entity Type | Organization
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Legal Business Name | PACIFIC ANESTHESIA CONSULTANTS & HOSPITALISTS
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 2855 W HORIZON RIDGE PKWY
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City | HENDERSON
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State | NV
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Zip | 89052-4394
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Country | US
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Telephone | 702-805-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 12 CALLE AMENO
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-2346
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Country | US
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Telephone | 720-984-7566
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DARIN L RENTZ
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Credential | DO
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Telephone | 720-984-7566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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