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General NPI Number Information
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NPI Number | 1285562140
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Entity Type | Organization
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Legal Business Name | PEDIATRIC ANESTHESIOLOGY LLC
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 121 E 6TH AVE
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City | LANCASTER
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State | OH
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Zip | 43130-2595
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Country | US
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Telephone | 740-475-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 4242 AIRPORT RD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45226-1615
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Country | US
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Telephone | 513-312-8652
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Fax |
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Authorized Official
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Title or Position | CEO & CHIEF ANESTHESIOLOGIST
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Name | DR. BERNARDUS TERREBLANCHE
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Credential | MD
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Telephone | 513-312-8652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number |
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License Number State |
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