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General NPI Number Information
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NPI Number | 1538221015
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Entity Type | Individual
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Provider Name | OWEN J HALLORAN MD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 2215 BURDETT AVE
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City | TROY
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State | NY
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Zip | 12180-2475
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Country | US
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Telephone | 518-525-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 WESTERN AVE STE 102 ANESTHESIA GROUP OF ALBANY, PC
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City | ALBANY
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State | NY
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Zip | 12203-3539
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Country | US
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Telephone | 518-463-0050
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Fax | 518-207-2973
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MT188744
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License Number State | PA
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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 | D68596
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License Number State | MD
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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 | 270594
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License Number State | NY
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