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General NPI Number Information
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NPI Number | 1457306367
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Entity Type | Organization
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Legal Business Name | SEACOAST ANESTHESIA PA
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 5 ALUMNI DR ANESTHESIA DEPARTMENT
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City | EXETER
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State | NH
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Zip | 03833-2128
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Country | US
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Telephone | 603-580-6624
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Fax | 603-580-6620
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Provider Business Mailing Address
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Address Line | PO BOX 845575
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City | BOSTON
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State | MA
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Zip | 02284-5575
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Country | US
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Telephone | 800-720-1664
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Fax | 207-753-2020
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Authorized Official
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Title or Position | CHAIRMAN
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Name | C. DAVID LONDON
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Credential | M.D.
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Telephone | 603-580-6624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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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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