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General NPI Number Information
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NPI Number | 1831159284
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ONE, P.S
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1414 N HOUK RD STE 204
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1097
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Country | US
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Telephone | 509-922-0362
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Fax |
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Provider Business Mailing Address
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Address Line | 122 N RAYMOND RD STE 20
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-6832
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Country | US
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Telephone | 509-926-1770
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Fax | 509-228-9542
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Authorized Official
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Title or Position | PRES
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Name | MICHAEL A ANDRANE
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Credential | CRNA
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Telephone | 509-922-0362
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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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