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General NPI Number Information
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NPI Number | 1639865728
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Entity Type | Organization
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Legal Business Name | ON DEMAND ANESTHESIA LLC
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 700 ATTUCKS LN UNIT 1B
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City | HYANNIS
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State | MA
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Zip | 02601-1813
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Country | US
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Telephone | 508-775-7751
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Fax |
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Provider Business Mailing Address
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Address Line | 135 LAKE ST
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City | MIDDLETON
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State | MA
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Zip | 01949-2024
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Country | US
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Telephone | 978-774-4266
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTOPHER HOEMAN
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Credential |
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Telephone | 978-774-4266
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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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