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General NPI Number Information
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NPI Number | 1114434883
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Entity Type | Organization
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Legal Business Name | REGIONAL ANESTHESIA EXPERTS PC
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 701 BOYCE RD
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-1225
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Country | US
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Telephone | 412-220-2336
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Fax | 304-233-6073
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Provider Business Mailing Address
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Address Line | PO BOX 645786
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City | PITTSBURGH
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State | PA
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Zip | 15264-5255
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Country | US
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Telephone | 877-746-7090
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Fax | 412-937-5707
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRYAN P MATUSIC
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Credential | DO
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Telephone | 412-220-2336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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