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General NPI Number Information
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NPI Number | 1962355081
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Entity Type | Organization
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Legal Business Name | BEDROCK ANESTHESIA LLC
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 2217 JUANITA DR
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City | NEW SMYRNA
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State | FL
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Zip | 32168-8442
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Country | US
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Telephone | 407-908-3139
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 166031 LOCKBOX #166031
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32716-6031
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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 | ALEJANDRO KNIGHT
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Credential | CRNA
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Telephone | 407-592-9810
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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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