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General NPI Number Information
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NPI Number | 1891453528
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Entity Type | Organization
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Legal Business Name | APOGEE ANESTHESIA CONSULTANTS LLC
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 742 MIDDLE CREEK RD
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City | SEVIERVILLE
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State | TN
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Zip | 37862-5019
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Country | US
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Telephone | 423-639-0941
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Fax | 423-638-3401
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Provider Business Mailing Address
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Address Line | DEPT 888614
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City | KNOXVILLE
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State | TN
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Zip | 37995-0001
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Country | US
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Telephone | 423-226-2479
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOBY REAGAN EDMONDS
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Credential | CRNA
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Telephone | 828-230-1716
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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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Taxonomy #2
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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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