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General NPI Number Information
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NPI Number | 1962479261
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Entity Type | Organization
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Legal Business Name | REDDING ANESTHESIA ASSOCIATES MEDICAL GROUP
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Dates
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Enumeration Date | 03/06/2006
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Last Update Date | 12/15/2018
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Provider Practice Location Address
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Address Line | 1335 BUENAVENTURA BLVD STE 100
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City | REDDING
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State | CA
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Zip | 96001
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Country | US
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Telephone | 530-247-7246
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Fax | 530-245-0849
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Provider Business Mailing Address
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Address Line | 1335 BUENAVENTURA BLVD STE 100
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City | REDDING
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State | CA
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Zip | 96001-0160
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Country | US
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Telephone | 530-247-7246
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Fax | 530-245-0849
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Authorized Official
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Title or Position | MD/PARTNER
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Name | SHISHIR A DHRUVA
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Credential | MD
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Telephone | 530-247-7246
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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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