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General NPI Number Information
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NPI Number | 1326357153
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Entity Type | Organization
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Legal Business Name | QUEENS CROSSING ANESTHESIA PLLC
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 13620 38TH AVE SUITE 5 I
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City | FLUSHING
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State | NY
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Zip | 11354-4233
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Country | US
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Telephone | 718-939-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 13620 38TH AVE SUITE 5 I
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City | FLUSHING
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State | NY
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Zip | 11354-4233
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Country | US
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Telephone | 718-939-9200
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | WILLIAM GARRETT
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Credential |
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Telephone | 718-939-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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