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General NPI Number Information
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NPI Number | 1962075481
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Entity Type | Organization
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Legal Business Name | CORAL ANESTHESIA ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2621 CATTLEMEN RD STE 100
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City | SARASOTA
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State | FL
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Zip | 34232-6212
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Country | US
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Telephone | 877-328-1119
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 744569
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City | ATLANTA
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State | GA
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Zip | 30374-4569
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CHRISTOPHER KENNEDY
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Credential |
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Telephone | 207-807-9009
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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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