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General NPI Number Information
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NPI Number | 1912923343
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Entity Type | Organization
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Legal Business Name | C S ANESTHESIA LLC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 3020 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1846
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Country | US
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Telephone | 303-759-7672
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Fax | 208-523-8978
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Provider Business Mailing Address
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Address Line | 3782 SPERONE DR
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City | CANFIELD
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State | OH
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Zip | 44406-9049
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Country | US
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Telephone | 330-881-8309
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Fax | 330-533-4232
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN NEIL CROSS
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Credential | CRNA
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Telephone | 330-881-8309
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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 | RN233535
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License Number State | OH
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