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General NPI Number Information
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NPI Number | 1316360126
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Entity Type | Organization
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Legal Business Name | SCI ANESTHESIA PLLC
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 1240 JEFFERSON RD STE C
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City | ROCHESTER
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State | NY
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Zip | 14623-3104
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Country | US
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Telephone | 585-626-2338
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Fax | 844-586-2669
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Provider Business Mailing Address
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Address Line | PO BOX 23623
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City | ROCHESTER
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State | NY
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Zip | 14692-3623
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Country | US
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Telephone | 585-626-2338
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Fax | 844-586-2669
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEFAN E LUCAS
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Credential | MD
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Telephone | 585-626-2338
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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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