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General NPI Number Information
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NPI Number | 1861027286
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Entity Type | Organization
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Legal Business Name | PERMIAN BASIN ANESTHESIA P.L.L.C.
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 400 ROSALIND REDFERN GROVER PKWY
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City | MIDLAND
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State | TX
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Zip | 79701-5846
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Country | US
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Telephone | 432-230-0542
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Fax |
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Provider Business Mailing Address
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Address Line | 6513 LOS CONCHOS LN
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City | MIDLAND
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State | TX
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Zip | 79707-9616
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Country | US
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Telephone | 432-230-0542
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ANESTHESIOLOGIST
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Name | DR. OSCAR LEO NUNEZ
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Credential | MD
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Telephone | 432-230-0542
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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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