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General NPI Number Information
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NPI Number | 1962050401
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Entity Type | Organization
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Legal Business Name | SKY ANESTHESIA INC.
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 4477 W 118TH ST STE 501
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City | HAWTHORNE
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State | CA
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Zip | 90250-2260
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Country | US
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Telephone | 213-465-0994
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 252273
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City | LOS ANGELES
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State | CA
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Zip | 90025-8979
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Country | US
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Telephone | 213-465-0994
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | REEKESH PATEL
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Credential | MD
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Telephone | 213-465-0994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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