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General NPI Number Information
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NPI Number | 1497815476
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Entity Type | Organization
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Legal Business Name | HOSPITAL ANESTHESIA SERVICES
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 715 S TAFT AVE
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City | FREMONT
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State | OH
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Zip | 43420-3200
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Country | US
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Telephone | 419-423-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 29953 SUSSEX RD
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City | PERRYSBURG
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State | OH
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Zip | 43551-3468
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Country | US
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Telephone | 419-423-5197
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NARENDRANATH LAKSHMIPATHY
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Credential | M.D.
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Telephone | 419-423-5197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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