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General NPI Number Information
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NPI Number | 1811371230
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Entity Type | Organization
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Legal Business Name | CENTURY OAK ANESTHESIA, LLC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 1420 N CAUSEWAY BLVD
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City | MANDEVILLE
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State | LA
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Zip | 70471-3104
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Country | US
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Telephone | 985-502-4104
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Fax |
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Provider Business Mailing Address
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Address Line | 124 CENTURY OAK LN
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City | MANDEVILLE
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State | LA
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Zip | 70471-6436
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Country | US
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Telephone | 315-975-3500
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Fax | 985-247-8280
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTA SWIGER
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Credential |
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Telephone | 315-975-3500
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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 |
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