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General NPI Number Information
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NPI Number | 1023330032
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Entity Type | Organization
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Legal Business Name | RADIANCE ANESTHESIA, LLC
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 701 BOYCE RD
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1225
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Country | US
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Telephone | 412-220-2336
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Fax | 412-220-2279
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Provider Business Mailing Address
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Address Line | 701 BOYCE RD
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1225
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Country | US
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Telephone | 412-220-2336
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Fax | 412-220-2279
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Authorized Official
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Title or Position | CEO
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Name | DR. SUDHIR RAO
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Credential | MD
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Telephone | 412-220-2336
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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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