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General NPI Number Information
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NPI Number | 1609820752
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Entity Type | Organization
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Legal Business Name | ASSURE ANESTHESIA, PLLC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 2475 SAINT RAYMONDS AVE ANESTHESIA DEPARTMENT
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City | BRONX
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State | NY
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Zip | 10461-3124
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Country | US
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Telephone | 718-430-7473
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Fax | 718-430-7336
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Provider Business Mailing Address
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Address Line | PO BOX A
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-0745
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Country | US
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Telephone | 800-720-1664
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Fax | 207-753-2020
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID SOFAIR
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Credential | M.D.
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Telephone | 718-430-7473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (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 | 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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