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General NPI Number Information
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NPI Number | 1275805517
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Entity Type | Organization
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Legal Business Name | NOYES HEALTH ANESTHESIA SERVICE
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 111 CLARA BARTON ST
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City | DANSVILLE
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State | NY
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Zip | 14437-9503
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Country | US
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Telephone | 585-335-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 111 CLARA BARTON ST
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City | DANSVILLE
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State | NY
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Zip | 14437-9503
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Country | US
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Telephone | 585-335-6001
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. JAY MASLYN
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Credential |
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Telephone | 585-335-4306
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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 | 2527000H
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License Number State | NY
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