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General NPI Number Information
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NPI Number | 1487157731
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Entity Type | Organization
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Legal Business Name | PRIME ANESTHESIA ASSOCIATES PC
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 810 PLAZA BLVD STE 101
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City | LANCASTER
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State | PA
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Zip | 17601-2762
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Country | US
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Telephone | 717-431-2368
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8230
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City | LANCASTER
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State | PA
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Zip | 17604-8230
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Country | US
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Telephone | 888-601-0675
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ROBERT A GARVIN
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Credential | DO
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Telephone | 717-431-2368
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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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