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NPI 1205559739

NPI 1205559739 : STARLIGHT ANESTHESIA : WESLEY CHAPEL, FL

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General NPI Number Information
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    NPI Number           |    1205559739
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    Entity Type          |    Organization 
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    Legal Business Name  |    STARLIGHT ANESTHESIA 
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Dates
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    Enumeration Date     |    09/20/2022
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    Last Update Date     |    01/20/2026
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Provider Practice Location Address
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    Address Line         |    27814 SUMMERGATE BLVD 
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    City                 |    WESLEY CHAPEL
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    State                |    FL
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    Zip                  |    33544-6919
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    Country              |    US
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    Telephone            |    888-851-4642
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    27814 SUMMERGATE BLVD 
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    City                 |    WESLEY CHAPEL
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    State                |    FL
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    Zip                  |    33544-6919
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    Country              |    US
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    Telephone            |    888-851-4642
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. MAULIK  BHALANI 
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    Credential           |    MD
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    Telephone            |    888-851-4642
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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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