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General NPI Number Information
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NPI Number | 1669324638
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Entity Type | Organization
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Legal Business Name | JL ANESTHESIA PC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 648 WASHINGTON ST
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City | HANOVER
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State | MA
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Zip | 02339-2386
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Country | US
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Telephone | 901-258-3188
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Fax |
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Provider Business Mailing Address
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Address Line | 87 FISHER ST
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City | NEEDHAM
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State | MA
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Zip | 02492-1424
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Country | US
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Telephone | 901-258-3188
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JACK LOUIE
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Credential | DDS
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Telephone | 901-258-3188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number |
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License Number State |
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