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General NPI Number Information
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NPI Number | 1851486195
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Entity Type | Organization
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Legal Business Name | ANESIS BEL-RED ASC, LLC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1260 116TH AVE NE SUITE 110
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City | BELLEVUE
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State | WA
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Zip | 98004-3809
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Country | US
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Telephone | 425-455-7225
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Fax | 425-455-0045
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Provider Business Mailing Address
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Address Line | 1260 116TH AVE NE STE 110
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City | BELLEVUE
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State | WA
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Zip | 98004-3800
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Country | US
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Telephone | 425-455-7225
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Fax | 425-455-0045
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE AND FINANCE
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Name | MR. KEVIN MOON
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Credential |
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Telephone | 206-538-6300
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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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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | WA
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