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General NPI Number Information
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NPI Number | 1417900986
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Entity Type | Organization
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Legal Business Name | SYLVA ANESTHESIOLOGY, PA
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 59 HOSPITAL RD
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City | SYLVA
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State | NC
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Zip | 28779-2732
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Country | US
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Telephone | 334-386-2054
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Fax | 334-244-1830
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Provider Business Mailing Address
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Address Line | PO BOX 235022
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City | MONTGOMERY
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State | AL
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Zip | 36123-5022
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Country | US
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Telephone | 334-386-2054
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Fax | 334-244-1830
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | TERRIE L. CARLETON
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Credential |
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Telephone | 334-386-2054
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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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