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General NPI Number Information
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NPI Number | 1124195151
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Entity Type | Organization
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Legal Business Name | MOUNTAINVIEW ANESTHESIA
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3729 EASTON NAZARETH HIGHWAY
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City | EASTON
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State | PA
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Zip | 18045
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Country | US
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Telephone | 610-559-7110
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Fax | 610-559-8257
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Provider Business Mailing Address
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Address Line | 35 E ELIZABETH AVE SUITE 24
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City | BETHLEHEM
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State | PA
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Zip | 18018
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Country | US
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Telephone | 610-865-7871
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Fax | 610-867-9675
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT J HAHN
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Credential | MD
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Telephone | 610-865-7871
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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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