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General NPI Number Information
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NPI Number | 1578519047
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Entity Type | Organization
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Legal Business Name | TRENTON ANESTHESIOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 2 CAPITAL WAY
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City | PENNINGTON
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State | NJ
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Zip | 08534-2521
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Country | US
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Telephone | 609-394-4221
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Fax | 609-394-4681
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Provider Business Mailing Address
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Address Line | 1 CAPITAL WAY 2ND FLOOR ANESTHESIA OFFICES
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City | PENNINGTON
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State | NJ
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Zip | 08534-2520
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Country | US
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Telephone | 609-396-4700
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Fax | 609-396-4900
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | DR. JOAQUINN CANTILLO
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Credential | MD
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Telephone | 609-396-4700
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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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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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