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General NPI Number Information
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NPI Number | 1306016480
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Entity Type | Organization
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Legal Business Name | LEHIGH VALLEY ANESTHESIA SERVICES, PC
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 1200 S CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-6202
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Country | US
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Telephone | 610-554-3604
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 S CEDAR CREST BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-6202
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Country | US
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Telephone | 610-554-3604
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | SANDRA A BOTY
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Credential |
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Telephone | 610-554-3604
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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 | MD057251L
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License Number State | PA
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