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General NPI Number Information
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NPI Number | 1659308021
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Entity Type | Organization
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Legal Business Name | CAPE COD ANESTHESIA ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 27 PARK ST
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City | HYANNIS
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State | MA
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Zip | 02601-5230
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Country | US
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Telephone | 508-771-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 10 LITTLE BROOK RD
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City | WEST WAREHAM
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State | MA
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Zip | 02576-1222
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Country | US
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Telephone | 800-841-5200
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Fax | 508-273-1241
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICARDO DESOUSA
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Credential | M.D.
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Telephone | 508-771-1800
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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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