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General NPI Number Information
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NPI Number | 1477507598
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Entity Type | Organization
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Legal Business Name | MVP ANESTHESIA ASSOCIATES, PC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 800 WASHINGTON ST ANESTHESIA DEPARTMENT
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City | NORWOOD
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State | MA
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Zip | 02062-3487
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Country | US
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Telephone | 781-278-6524
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Fax | 781-762-1750
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Provider Business Mailing Address
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Address Line | PO BOX 845044
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City | BOSTON
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State | MA
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Zip | 02284-5044
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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 | MANAGING PARTNER
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Name | BRUCE NOVIS
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Credential | M.D.
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Telephone | 781-278-6524
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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 | 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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Taxonomy #3
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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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