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General NPI Number Information
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NPI Number | 1235135500
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Entity Type | Organization
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Legal Business Name | GRANDVIEW ANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 700 LAWN AVE
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1548
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Country | US
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Telephone | 215-453-4550
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Fax |
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Provider Business Mailing Address
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Address Line | 700 LAWN AVE
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1548
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Country | US
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Telephone | 215-453-4550
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MITCHELLE JAY BARRER
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Credential | MD
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Telephone | 215-453-4550
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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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