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General NPI Number Information
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NPI Number | 1740802933
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Entity Type | Organization
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Legal Business Name | ARIZONA ANESTHESIA SPECIALISTS LLC
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 9242 W UNION HILLS DR STE 100
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City | PEORIA
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State | AZ
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Zip | 85382-8219
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Country | US
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Telephone | 602-795-0207
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Fax | 602-795-4514
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Provider Business Mailing Address
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Address Line | 4045 E BELL RD STE 149
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City | PHOENIX
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State | AZ
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Zip | 85032-2239
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Country | US
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Telephone | 602-795-0207
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Fax | 602-795-4514
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Authorized Official
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Title or Position | CEO
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Name | JEFFREY A LYNN
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Credential | DC
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Telephone | 602-795-0207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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