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General NPI Number Information
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NPI Number | 1396781217
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Entity Type | Organization
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Legal Business Name | FARMVILLE ANESTHESIA ASSOCIATES PC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 800 OAK ST
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City | FARMVILLE
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State | VA
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Zip | 23901-1199
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Country | US
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Telephone | 804-315-2712
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Fax | 804-392-5137
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Provider Business Mailing Address
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Address Line | LOCKBOX 6646 PO BOX 8500
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City | PHILADELPHIA
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State | PA
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Zip | 19178-6646
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Country | US
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Telephone | 800-919-1190
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Fax | 706-737-2272
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Authorized Official
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Title or Position | PRESIDENT SOLE OWNER
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Name | GEORGE EDWARD ANDERSON
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Credential | MD
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Telephone | 804-756-5130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State | VA
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Taxonomy #2
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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 | VA
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Taxonomy #3
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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 | VA
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