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General NPI Number Information
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NPI Number | 1124997432
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Entity Type | Organization
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Legal Business Name | UPPER VALLEY ANESTHESIA, LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 300 W MAIN ST
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City | SAINT CLAIRSVILLE
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State | OH
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Zip | 43950-8801
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Country | US
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Telephone | 740-449-2196
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W MAIN ST
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City | SAINT CLAIRSVILLE
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State | OH
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Zip | 43950-8801
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Country | US
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Telephone | 740-449-2196
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL SHATS
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Credential | MD
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Telephone | 304-551-3839
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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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Taxonomy #2
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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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