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NPI 1093707879

NPI 1093707879 : NORTH AMERICAN PARTNERS IN ANESTHESIA MARYLAND LLC : PRINCE FREDERICK, MD

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General NPI Number Information
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    NPI Number           |    1093707879
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTH AMERICAN PARTNERS IN ANESTHESIA MARYLAND LLC 
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Dates
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    Enumeration Date     |    08/18/2005
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    Last Update Date     |    05/01/2024
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Provider Practice Location Address
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    Address Line         |    100 HOSPITAL RD 
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    City                 |    PRINCE FREDERICK
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    State                |    MD
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    Zip                  |    20678-4017
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    Country              |    US
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    Telephone            |    410-535-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    P O BOX 200591 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75320-0001
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    Country              |    US
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    Telephone            |    516-945-3000
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    Fax                  |    516-945-3131
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Authorized Official
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    Title or Position    |    TEAM LEAD
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    Name                 |     SARAH  BERNOCCO 
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    Credential           |    
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    Telephone            |    516-945-3000
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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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