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General NPI Number Information
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NPI Number | 1699609321
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Entity Type | Organization
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Legal Business Name | LIFEBRIDGE ANESTHESIA ASSOCIATES, LLC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 2401 W BELVEDERE AVE
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City | BALTIMORE
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State | MD
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Zip | 21215-5216
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Country | US
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Telephone | 410-601-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 10090 RED RUN BLVD FL 3
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4827
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Country | US
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Telephone | 410-601-4832
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Fax |
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | LAURA CHRISTINE CALLAHAN
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Credential |
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Telephone | 410-601-4832
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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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