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General NPI Number Information
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NPI Number | 1801197264
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Entity Type | Organization
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Legal Business Name | OUTPATIENT ANESTHESIA SERVICES LLC
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 120 N OAK ST
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City | HINSDALE
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State | IL
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Zip | 60521-3829
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Country | US
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Telephone | 630-865-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 804 SCOTT NIXON MEMORIAL DR
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City | AUGUSTA
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State | GA
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Zip | 30907-2464
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Country | US
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Telephone | 706-650-0705
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Fax | 706-650-1034
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Authorized Official
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Title or Position | PARTNER
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Name | ZBIGNIEW KUJALOWICZ
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Credential | MD
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Telephone | 630-865-9000
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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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