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General NPI Number Information
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NPI Number | 1124503487
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Entity Type | Organization
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Legal Business Name | UNIVERSAL ANESTHESIA SERVICES
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 113 BLARNEY DR
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City | COLUMBIA
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State | SC
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Zip | 29223-6244
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Country | US
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Telephone | 803-788-2225
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Fax | 803-788-2120
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Provider Business Mailing Address
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Address Line | 113 BLARNEY DR
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City | COLUMBIA
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State | SC
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Zip | 29223-6244
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Country | US
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Telephone | 803-788-2225
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Fax | 803-788-2120
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | USAMA A GABR
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Credential |
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Telephone | 513-309-8523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) 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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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