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General NPI Number Information
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NPI Number | 1285630319
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Entity Type | Organization
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Legal Business Name | LAUREL ANESTHESIA ASSOCIATES, PC
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 1 AESTHETIC WAY
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City | GREENSBURG
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State | PA
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Zip | 15601-9500
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Country | US
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Telephone | 724-832-7555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 595
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City | LIGONIER
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State | PA
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Zip | 15658-0595
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Country | US
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Telephone | 201-804-2800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID W. BEYER
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Credential | M.D.
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Telephone | 724-552-0068
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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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