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General NPI Number Information
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NPI Number | 1033198304
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Entity Type | Organization
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Legal Business Name | SUMMIT ANESTHESIA ASSOCIATES PA
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 99 BEAUVOIR AVENUE
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City | SUMMIT
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State | NJ
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Zip | 07901-3533
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Country | US
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Telephone | 908-598-1500
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Fax | 908-598-0197
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Provider Business Mailing Address
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Address Line | PO BOX 8500
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City | PHILADELPHIA
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State | PA
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Zip | 19178-6872
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Country | US
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Telephone | 800-394-4445
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Fax | 706-650-1034
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GLEN PARIS
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Credential | MD
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Telephone | 908-598-1500
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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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