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General NPI Number Information
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NPI Number | 1245272566
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF SOUTHERN OHIO, INC.
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1805 27TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2640
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Country | US
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Telephone | 740-356-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3626 RUFFIN RD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1810
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEIL J. PRINCIPE
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Credential | M.D.
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Telephone | 123-456-7890
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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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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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