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General NPI Number Information
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NPI Number | 1043247562
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Entity Type | Organization
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Legal Business Name | ANESTHESIOLOGY ASSOCIATES OF GLASGOW, PSC
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 1301 N RACE ST
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City | GLASGOW
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State | KY
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Zip | 42141-3454
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Country | US
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Telephone | 270-651-8338
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Fax | 270-651-3243
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Provider Business Mailing Address
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Address Line | PO BOX 1947
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City | GLASGOW
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State | KY
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Zip | 42142-1947
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Country | US
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Telephone | 270-651-8338
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Fax | 270-651-3243
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Authorized Official
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Title or Position | OWNER
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Name | DR. MURALIDHAR SANTAPURAM
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Credential | MD
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Telephone | 270-651-8338
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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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Taxonomy #2
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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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