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General NPI Number Information
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NPI Number | 1427008440
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Entity Type | Organization
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Legal Business Name | GREENSBORO ANESTHESIA PHYSICIANS,PC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 3625 N ELM ST SUITE 110A
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City | GREENSBORO
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State | NC
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Zip | 27455-2604
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Country | US
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Telephone | 336-282-4840
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Fax | 336-282-4660
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Provider Business Mailing Address
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Address Line | 3625 N ELM ST SUITE 110A
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City | GREENSBORO
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State | NC
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Zip | 27455-2604
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Country | US
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Telephone | 336-282-4840
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Fax | 336-282-4660
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JUDY W. BREWER
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Credential |
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Telephone | 336-282-4840
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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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