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General NPI Number Information
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NPI Number | 1083723191
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Entity Type | Organization
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Legal Business Name | INNOVATIVE ANESTHESIA SOLUTIONS LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 195 US HIGHWAY 9
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City | MANALAPAN
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State | NJ
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Zip | 07726-8293
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Country | US
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Telephone | 732-358-6500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 297
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City | MANASQUAN
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State | NJ
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Zip | 08736-0297
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Country | US
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Telephone | 732-899-0868
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Fax | 732-899-5167
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Authorized Official
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Title or Position | OWNER
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Name | DOMENICK L SCALI
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Credential | MD
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Telephone | 732-995-8552
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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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