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General NPI Number Information
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NPI Number | 1073542254
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Entity Type | Organization
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Legal Business Name | NOVA ANESTHESIA PROFESSIONALS
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1501 MOUNT PLEASANT RD
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City | VILLANOVA
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State | PA
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Zip | 19085-2112
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Country | US
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Telephone | 610-527-1400
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Fax | 610-527-2775
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Provider Business Mailing Address
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Address Line | PO BOX 428
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City | LEHIGHTON
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State | PA
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Zip | 18235-0428
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Country | US
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Telephone | 570-386-2366
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Fax | 570-386-3130
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KELLY ALEXANDER
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Credential |
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Telephone | 570-386-2366
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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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