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General NPI Number Information
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NPI Number | 1134620529
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Entity Type | Organization
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Legal Business Name | AAA ANESTHESIA ASSOCIATES LLC
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 4905 W TILGHMAN ST STE 250
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 484-866-9581
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Fax |
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Provider Business Mailing Address
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Address Line | 110 29TH AVE N STE 201
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City | NASHVILLE
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State | TN
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Zip | 37203-1458
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Country | US
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Telephone | 615-327-4304
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Fax | 615-327-7940
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | PAUL TEIKEN
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Credential | MD
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Telephone | 615-327-4304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 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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