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General NPI Number Information
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NPI Number | 1295716231
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOC. OF PALM BEACH GARDENS, PA
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3370 BURNS RD STE 200
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4327
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Country | US
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Telephone | 561-626-9882
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Fax |
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Provider Business Mailing Address
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Address Line | 804 SCOTT NIXON MEMORIAL DR
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City | AUGUSTA
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State | GA
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Zip | 30907-2464
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Country | US
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Telephone | 800-394-4445
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Fax |
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Authorized Official
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Title or Position | HEAD OF GROUP
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Name | JEFFREY WEISS
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Credential | MD
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Telephone | 561-626-9882
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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 |
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