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General NPI Number Information
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NPI Number | 1891864658
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Entity Type | Organization
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Legal Business Name | INTEGRITY ANESTHESIA P.C.
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 227 MOUNTAIN DRIVE
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City | DAHLONEGA
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State | GA
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Zip | 30533-1614
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Country | US
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Telephone | 706-867-4116
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Fax | 706-867-4120
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Provider Business Mailing Address
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Address Line | PO BOX 1565
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City | DAHLONEGA
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State | GA
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Zip | 30533-0027
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Country | US
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Telephone | 706-867-4116
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Fax | 706-867-4120
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. KIM DOREEN GABLE
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Credential |
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Telephone | 706-867-4116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 035327
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License Number State | GA
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