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General NPI Number Information
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NPI Number | 1235235961
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Entity Type | Organization
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Legal Business Name | ASSOCIATION OF ANESTHESIA PROVIDERS, LLC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 1325 LOCUST AVE
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City | FAIRMONT
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State | WV
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Zip | 26554-1435
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Country | US
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Telephone | 304-346-9400
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Fax | 304-345-7320
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Provider Business Mailing Address
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Address Line | PO BOX 1009
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City | CHARLESTON
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State | WV
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Zip | 25324-1009
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Country | US
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Telephone | 304-346-9400
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Fax | 304-345-7320
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Authorized Official
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Title or Position | OWNER
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Name | MARSHA BOGGESS
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Credential |
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Telephone | 304-346-9400
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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 | 16058
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License Number State | WV
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