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General NPI Number Information
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NPI Number | 1073065959
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Entity Type | Organization
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Legal Business Name | PRECISION ANESTHESIA ASSOCIATES OF NEW JERSEY LLC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 127 GRAYSON DR
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City | BELLE MEAD
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State | NJ
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Zip | 08502-4932
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Country | US
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Telephone | 732-444-8888
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Fax | 877-489-8181
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Provider Business Mailing Address
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Address Line | 127 GRAYSON DR
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City | BELLE MEAD
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State | NJ
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Zip | 08502-4932
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Country | US
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Telephone | 732-444-8888
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Fax | 877-489-8181
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Authorized Official
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Title or Position | OWNER
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Name | WAEL T ELKHOLY
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Credential | MD
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Telephone | 732-444-8888
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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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