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General NPI Number Information
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NPI Number | 1275561920
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Entity Type | Organization
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Legal Business Name | ALBEMARLE ANESTHESIOLOGY, PA
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 YADKIN ST
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City | ALBEMARLE
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State | NC
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Zip | 28001-3441
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Country | US
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Telephone | 704-984-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2119
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City | ALBEMARLE
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State | NC
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Zip | 28002-2119
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Country | US
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Telephone | 704-984-4186
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Fax | 704-983-6624
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHEAL BOHNSACK
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Credential | MD
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Telephone | 704-984-4186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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