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General NPI Number Information
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NPI Number | 1770568842
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Entity Type | Organization
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Legal Business Name | PARKVIEW ANESTHESIA
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1500 N OAKLAND AVE
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City | BOLIVAR
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State | MO
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Zip | 65613-3011
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Country | US
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Telephone | 660-826-5960
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Fax | 660-826-4852
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Provider Business Mailing Address
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Address Line | 1500 N OAKLAND AVE
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City | BOLIVAR
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State | MO
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Zip | 65613-3011
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Country | US
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Telephone | 660-826-5960
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Fax | 660-826-4852
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Authorized Official
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Title or Position | CEO
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Name | DONALD BABBS
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Credential |
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Telephone | 417-777-6911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | MO
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