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General NPI Number Information
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NPI Number | 1396761573
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Entity Type | Organization
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Legal Business Name | WEST END ANESTHESIA GROUP
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 5801 BREMO RD. STE 100
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City | RICHMOND
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State | VA
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Zip | 23226
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Country | US
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Telephone | 804-288-6258
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Fax | 804-673-1038
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Provider Business Mailing Address
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Address Line | 5855 BREMO RD. STE. 100
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City | RICHMOND
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State | VA
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Zip | 23226
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Country | US
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Telephone | 804-288-6258
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Fax | 804-673-1038
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSHUA R WEISS
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Credential | M.D.
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Telephone | 804-288-6258
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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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