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General NPI Number Information
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NPI Number | 1174870471
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Entity Type | Organization
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Legal Business Name | STIRILING ANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 433 HACKENSACK AVE
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City | HACKENSACK
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State | NJ
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Zip | 07601-6319
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Country | US
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Telephone | 908-447-2157
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Fax | 631-223-1400
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Provider Business Mailing Address
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Address Line | 30 FAWN DR
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1916
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Country | US
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Telephone | 908-447-2157
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Fax | 631-223-1400
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | MR. NEIL ROSS
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Credential | M.D.
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Telephone | 908-447-2157
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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 | 25MA06373100
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License Number State | NJ
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