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General NPI Number Information
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NPI Number | 1861702425
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Entity Type | Organization
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Legal Business Name | SOUTHEAST ANESTHESIOLOGY CONSULTANTS, PLLC
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 07/13/2018
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Provider Practice Location Address
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Address Line | 600 GREEN VALLEY ROAD SUITE 304
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 336-282-4840
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Fax | 336-282-4660
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Provider Business Mailing Address
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Address Line | 1500 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2815
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Country | US
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Telephone | 800-243-3839
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Fax | 844-686-2961
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSHUA MILLER
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Credential | MD
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Telephone | 954-384-0175
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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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