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General NPI Number Information
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NPI Number | 1326697301
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Entity Type | Organization
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Legal Business Name | EASTERN ANESTHESIA PC
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 305 E 47TH ST
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City | NEW YORK
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State | NY
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Zip | 10017-2303
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Country | US
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Telephone | 212-203-8744
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Fax |
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Provider Business Mailing Address
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Address Line | 227 E 56TH ST RM 203
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City | NEW YORK
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State | NY
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Zip | 10022-3733
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Country | US
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Telephone | 212-203-8744
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BIRAJ PATEL
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Credential | MD
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Telephone | 212-203-8744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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