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General NPI Number Information
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NPI Number | 1538157342
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Entity Type | Organization
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Legal Business Name | ALLENTOWN ANESTHESIA ASSOCIATES, INC.
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 05/10/2017
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Provider Practice Location Address
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Address Line | 4905 W. TILGHMAN ST SUITE 250
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 484-866-9583
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Fax | 610-366-1147
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Provider Business Mailing Address
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Address Line | 4905 W. TILGHMAN ST SUITE 250
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 484-866-9583
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Fax | 610-366-1147
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | SANDRA ANN BOTY
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Credential |
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Telephone | 484-866-9583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | PA
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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 | PA
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