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General NPI Number Information
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NPI Number | 1932571551
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Entity Type | Organization
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Legal Business Name | MISSION NURSING ANESTHESIA, INC
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 35800 BOB HOPE DR SUITE 100
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1739
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Country | US
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Telephone | 615-620-2320
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Fax | 615-620-2323
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Provider Business Mailing Address
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Address Line | PO BOX 290664
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City | NASHVILLE
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State | TN
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Zip | 37229-0664
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Country | US
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Telephone | 615-620-2320
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Fax | 615-620-2323
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Authorized Official
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Title or Position | OPERATIONS MGR
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Name | SCOTT ROBERTS
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Credential |
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Telephone | 615-620-2324
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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 |
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License Number State |
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