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General NPI Number Information
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NPI Number | 1821475179
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Entity Type | Organization
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Legal Business Name | MIAMI ANESTHESIA SERVICES LLC
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 3716 NE 208TH TERRACE
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone | 352-256-2855
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Fax |
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Provider Business Mailing Address
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Address Line | 3716 NE 208TH TERRACE
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone | 352-256-2855
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE CHIEF
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Name | BRIAN COHEN
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Credential | MD
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Telephone | 954-383-4265
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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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Taxonomy #2
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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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