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General NPI Number Information
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NPI Number | 1790684272
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Entity Type | Organization
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Legal Business Name | ARCH ANESTHESIA
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 16347 LAKEVIEW CIR
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City | CHESTERFIELD
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State | MO
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Zip | 63017-4711
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Country | US
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Telephone | 314-489-2061
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Fax |
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Provider Business Mailing Address
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Address Line | 16347 LAKEVIEW CIR
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City | CHESTERFIELD
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State | MO
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Zip | 63017-4711
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Country | US
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Telephone | 314-489-2061
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. TODD HEARNS
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Credential | DMD
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Telephone | 314-489-2061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number |
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License Number State |
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