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General NPI Number Information
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NPI Number | 1639878713
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Entity Type | Organization
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Legal Business Name | EXCEL ANESTHESIA ASSOCIATES PLLC
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 07/04/2023
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Provider Practice Location Address
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Address Line | 40 ALLIED DR
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City | DEDHAM
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State | MA
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Zip | 02026-6146
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Country | US
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Telephone | 617-865-1110
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Fax | 617-830-9339
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Provider Business Mailing Address
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Address Line | PO BOX 95000 - 8622
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City | PHILADELPHIA
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State | PA
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Zip | 19195-0001
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Country | US
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Telephone | 888-851-4642
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Fax | 617-830-9339
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALFRED L DANIELS
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Credential | MD
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Telephone | 617-865-1110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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