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General NPI Number Information
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NPI Number | 1023800596
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Entity Type | Organization
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Legal Business Name | ELXR ANESTHESIA LLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 401 COUNTY ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-4935
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Country | US
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Telephone | 774-328-8129
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Fax |
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Provider Business Mailing Address
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Address Line | 364 BARNSTABLE RD STE 1019
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City | HYANNIS
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State | MA
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Zip | 02601-2937
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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 | CEO
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Name | NIRMAL GOSALIA
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Credential | MD
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Telephone | 312-324-3368
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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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