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General NPI Number Information
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NPI Number | 1699860528
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL ANESTHESIA ASSOCIATES,LLP
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 230 HILTON AVE 214
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City | HEMPSTEAD
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State | NY
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Zip | 11550-8115
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Country | US
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Telephone | 516-248-7212
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Fax |
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Provider Business Mailing Address
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Address Line | 89 HAMILTON DR
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City | ROSLYN
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State | NY
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Zip | 11576-3128
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Country | US
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Telephone | 516-248-7212
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MARIA F LEE
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Credential | M.D.
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Telephone | 516-248-7212
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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 | 100118
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License Number State | NY
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