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General NPI Number Information
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NPI Number | 1427702117
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Entity Type | Organization
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Legal Business Name | NEW BRUNSWICK ANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 254 EASTON AVE
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1766
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Country | US
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Telephone | 908-519-8520
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Fax | 908-519-8521
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Provider Business Mailing Address
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Address Line | 220 DAVIDSON AVE STE 124
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City | SOMERSET
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State | NJ
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Zip | 08873-4144
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Country | US
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Telephone | 908-519-8520
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Fax | 908-519-8521
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM LEE
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Credential | MD
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Telephone | 908-519-8520
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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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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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