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General NPI Number Information
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NPI Number | 1205812260
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF YORK PA INC
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1001 S GEORGE ST
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City | YORK
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State | PA
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Zip | 17403-3676
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Country | US
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Telephone | 717-851-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 110 PINE GROVE COMMONS
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City | YORK
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State | PA
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Zip | 17403-5151
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Country | US
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Telephone | 717-741-5257
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Fax | 717-741-5336
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK MCGANNON
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Credential | MD
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Telephone | 717-741-5257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | PA
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