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NPI 1871140889

NPI 1871140889 : SATELLITE ANESTHESIA LLC : LUTHERVILLE, MD

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General NPI Number Information
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    NPI Number           |    1871140889
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    Entity Type          |    Organization 
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    Legal Business Name  |    SATELLITE ANESTHESIA LLC 
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Dates
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    Enumeration Date     |    08/23/2019
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    Last Update Date     |    07/22/2026
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Provider Practice Location Address
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    Address Line         |    1304 BELLONA AVE 
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    City                 |    LUTHERVILLE
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    State                |    MD
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    Zip                  |    21093-5425
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    Country              |    US
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    Telephone            |    410-616-3000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3301 S 14TH ST STE 16180 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79605-5015
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    Country              |    US
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    Telephone            |    325-675-6466
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    Fax                  |    325-692-6030
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHRISTOPHER MICHAEL FRISONE 
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    Credential           |    CRNA
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    Telephone            |    325-675-6466
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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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