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General NPI Number Information
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NPI Number | 1992329551
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Entity Type | Organization
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Legal Business Name | SW ANESTHESIA, P.C.
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 3920 S ROME ST
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City | GILBERT
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State | AZ
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Zip | 85297-7366
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Country | US
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Telephone | 480-597-4778
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Fax | 480-597-4782
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Provider Business Mailing Address
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Address Line | 2040 S ALMA SCHOOL RD STE 1-385
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City | CHANDLER
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State | AZ
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Zip | 85286-7075
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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 | PRESIDENT
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Name | BRIAN ELLIOTT
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Credential | D.O.
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Telephone | 509-885-6394
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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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