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General NPI Number Information
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NPI Number | 1285991075
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Entity Type | Organization
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Legal Business Name | AMSURG TOMS RIVER ANESTHESIA LLC
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 129 ROUTE 37 W
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City | TOMS RIVER
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State | NJ
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Zip | 08755-6435
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Country | US
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Telephone | 732-797-3960
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Fax | 732-797-3963
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Provider Business Mailing Address
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Address Line | 20 BURTON HILLS BLVD SUITE 500 ATTN: L&C
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City | NASHVILLE
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State | TN
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Zip | 37215-6197
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Country | US
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Telephone | 615-240-3820
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Fax | 615-234-1720
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BILLIE A PAYNE
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Credential |
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Telephone | 615-665-1283
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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 | NJ
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