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General NPI Number Information
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NPI Number | 1396776670
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF CHARLESTON, P.A.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 1064 GARDNER ROAD STE 112
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City | CHARLESTON
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State | SC
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Zip | 29407-5768
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Country | US
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Telephone | 843-723-3441
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Fax | 843-805-4040
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Provider Business Mailing Address
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Address Line | 125 DOUGHTY ST STE 420
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City | CHARLESTON
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State | SC
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Zip | 29403-5741
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Country | US
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Telephone | 843-723-3441
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Fax | 843-805-4040
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | PAM PERRY
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Credential |
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Telephone | 843-723-3441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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