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General NPI Number Information
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NPI Number | 1235329814
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF VERO BEACH PA
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 1355 37TH ST SUITE 304
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City | VERO BEACH
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State | FL
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Zip | 32960-7321
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Country | US
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Telephone | 772-794-4236
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Fax | 772-794-4621
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Provider Business Mailing Address
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Address Line | 1355 37TH ST SUITE 304
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City | VERO BEACH
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State | FL
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Zip | 32960-7321
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Country | US
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Telephone | 772-794-4236
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Fax | 772-794-4621
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Authorized Official
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Title or Position | OWNER
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Name | JAMES W. AGNEW
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Credential | M.D.
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Telephone | 772-794-4236
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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 | ME89357
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License Number State | FL
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