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General NPI Number Information
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NPI Number | 1396930749
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF SALEM
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 81 HIGHLAND AVE
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City | SALEM
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State | MA
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Zip | 01970-2714
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Country | US
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Telephone | 978-354-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 81 HIGHLAND AVE
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City | SALEM
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State | MA
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Zip | 01970-2714
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Country | US
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Telephone | 978-354-3330
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DEVILA SHAH
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Credential |
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Telephone | 978-852-3122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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