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General NPI Number Information
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NPI Number | 1982955621
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Entity Type | Organization
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Legal Business Name | MCGOWAN COURT ANESTHESIA ASSOCIATES LLC
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 151 MCGOWAN CT
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6451
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Country | US
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Telephone | 941-360-1566
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6309
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City | SPRINGFIELD
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State | IL
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Zip | 62708-6309
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Country | US
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Telephone | 571-535-2502
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Fax | 571-401-1975
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Authorized Official
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Title or Position | MEMBER
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Name | JOHN S. MATHEWS
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Credential | MD
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Telephone | 501-623-4101
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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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