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General NPI Number Information
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NPI Number | 1902223811
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Entity Type | Organization
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Legal Business Name | UNIFOUR ANESTHESIA ASSOCIATES, PA
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 250 18TH STREET CIR SE SUITE B
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City | HICKORY
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State | NC
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Zip | 28602-1361
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Country | US
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Telephone | 828-324-4005
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Fax | 828-315-5974
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Provider Business Mailing Address
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Address Line | 415 N CENTER ST SUITE 201
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City | HICKORY
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State | NC
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Zip | 28601-5057
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Country | US
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Telephone | 828-327-8105
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Fax | 828-327-4245
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. GERRIE L REEVES
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Credential |
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Telephone | 828-327-8105
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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 | 40254
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License Number State | NC
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