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General NPI Number Information
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NPI Number | 1831899095
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Entity Type | Organization
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Legal Business Name | STRATUS ANESTHESIA SOLUTIONS
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 680 E 56TH ST STE I
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City | BROWNSBURG
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State | IN
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Zip | 46112-7777
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Country | US
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Telephone | 317-588-2802
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Fax | 317-565-4645
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Provider Business Mailing Address
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Address Line | 124 E NORTHFIELD DR STE F320
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City | BROWNSBURG
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State | IN
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Zip | 46112-2600
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Country | US
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Telephone | 317-358-9553
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Fax | 317-565-4645
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. ANGELA L FUGATE
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Credential | MD
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Telephone | 317-588-2802
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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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