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General NPI Number Information
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NPI Number | 1134265697
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Entity Type | Organization
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Legal Business Name | DOCTORS' ANESTHESIA ASSOCIATES INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 109 MORRISON DRIVE
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City | PRINCETON
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State | WV
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Zip | 24740
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Country | US
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Telephone | 304-487-3559
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Fax | 304-487-7928
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Provider Business Mailing Address
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Address Line | PO BOX 1143
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City | PRINCETON
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State | WV
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Zip | 24740
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Country | US
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Telephone | 304-487-3559
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Fax | 304-487-7928
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Authorized Official
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Title or Position | PRESIDENT
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Name | EREZ OFIR
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Credential | MD
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Telephone | 304-487-3559
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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 | 16708
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License Number State | WV
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