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General NPI Number Information
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NPI Number | 1902514813
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Entity Type | Organization
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Legal Business Name | PRESTIGE ANESTHESIA A NURSING CORPORATION
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 3850 SAN DIMAS ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1456
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Country | US
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Telephone | 661-663-3700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2029
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City | BAKERSFIELD
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State | CA
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Zip | 93303-2029
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Country | US
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Telephone | 661-843-7616
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Fax | 661-760-6926
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Authorized Official
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Title or Position | OWNER
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Name | WASEEM ALI HUSSAINI
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Credential | CRNA
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Telephone | 205-441-1141
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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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