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General NPI Number Information
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NPI Number | 1134087752
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Entity Type | Organization
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Legal Business Name | PELHAM ANESTHESIA SERVICES, LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2755 S HWY 14
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City | GREER
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State | SC
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Zip | 29650-4926
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Country | US
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Telephone | 864-334-2400
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Fax | 864-334-2410
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Provider Business Mailing Address
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Address Line | 2755 S HWY 14
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City | GREER
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State | SC
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Zip | 29650-4926
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Country | US
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Telephone | 864-334-2400
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Fax | 864-334-2410
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | WILLIAM HAZEN
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Credential |
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Telephone | 864-334-2400
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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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