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General NPI Number Information
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NPI Number | 1598857179
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Entity Type | Organization
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Legal Business Name | LYNCHBURG ANESTHESIA ASSOCIATES INC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 1901 TATE SPRINGS RD
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City | LYNCHBURG
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State | VA
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Zip | 24501-1109
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Country | US
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Telephone | 844-635-6467
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 392081
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City | PITTSBURGH
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State | PA
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Zip | 15251-9081
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Country | US
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Telephone | 844-635-6467
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENNETH SHERBAN
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Credential | MD
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Telephone | 844-635-6467
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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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