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General NPI Number Information
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NPI Number | 1912953381
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR ANESTHESIOLOGISTS PC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 4230 HARDING RD SUITE 435
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City | NASHVILLE
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State | TN
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Zip | 37205-2013
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Country | US
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Telephone | 615-385-3704
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Fax | 615-292-1321
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Provider Business Mailing Address
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Address Line | 4230 HARDING PIKE STE 435
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City | NASHVILLE
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State | TN
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Zip | 37205-4900
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Country | US
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Telephone | 615-385-3704
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Fax | 615-292-1321
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Authorized Official
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Title or Position | VICE-PRESIDENT/COO
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Name | JESSE E SCRUGGS
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Credential | MD
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Telephone | 615-385-3704
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN6541
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 038094
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | MD017219
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License Number State | TN
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