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General NPI Number Information
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NPI Number | 1851689848
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Entity Type | Organization
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Legal Business Name | ARCH ANESTHESIOLOGY LLC
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 1101 W GANNON DR
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City | FESTUS
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State | MO
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Zip | 63028-2602
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Country | US
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Telephone | 866-936-8420
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Fax | 801-432-2601
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Provider Business Mailing Address
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Address Line | 1101 W GANNON DR
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City | FESTUS
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State | MO
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Zip | 63028-2602
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Country | US
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Telephone | 866-936-8420
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Fax | 801-432-2601
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Authorized Official
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Title or Position | GROUP PRESIDENT
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Name | DR. GEORGE D LAPPAS
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Credential | MD
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Telephone | 866-936-8420
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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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