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General NPI Number Information
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NPI Number | 1255399689
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Entity Type | Organization
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Legal Business Name | NORTH PENN ANESTHESIOLOGY ASSOCIATES, INC
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 100 MEDICAL CAMPUS DR
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City | LANSDALE
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State | PA
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Zip | 19446-1259
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Country | US
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Telephone | 215-773-9564
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Fax | 215-773-9602
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Provider Business Mailing Address
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Address Line | 205 NEWTOWN RD SUITE 208
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City | WARMINSTER
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State | PA
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Zip | 18974-5207
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Country | US
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Telephone | 215-773-9564
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Fax | 215-773-9602
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Authorized Official
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Title or Position | CEO
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Name | DR. JAY M MERGAMAN
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Credential | M.D.
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Telephone | 215-773-9514
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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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