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General NPI Number Information
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NPI Number | 1235539966
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Entity Type | Organization
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Legal Business Name | ADVANCED ANESTHESIA ASSOCIATES OF NEW JERSEY, LLC
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 08/29/2014
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Provider Practice Location Address
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Address Line | 1608 LEMOINE AVE SUITE 201
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City | FORT LEE
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State | NJ
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Zip | 07024-5622
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Country | US
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Telephone | 201-461-6666
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Fax | 201-461-7429
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Provider Business Mailing Address
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Address Line | 1608 LEMOINE AVE SUITE 201
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City | FORT LEE
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State | NJ
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Zip | 07024-5622
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Country | US
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Telephone | 201-461-6666
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Fax | 201-461-7429
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Authorized Official
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Title or Position | MEMBER
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Name | DR. AMRISH PATEL
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Credential | M.D.
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Telephone | 917-520-6376
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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 | 25MA05812300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MA07127500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 25MA05812300
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA07127500
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License Number State | NJ
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