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General NPI Number Information
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NPI Number | 1720053887
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Entity Type | Organization
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Legal Business Name | CORRIDOR ANESTHESIA, L.L.C.
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 12/07/2012
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Provider Practice Location Address
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Address Line | 7350 VAN DUSEN RD SUITE 230
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City | LAUREL
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State | MD
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Zip | 20707-5263
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Country | US
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Telephone | 301-498-5500
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Fax | 301-498-7346
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Provider Business Mailing Address
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Address Line | 7350 VAN DUSEN RD SUITE 250
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City | LAUREL
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State | MD
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Zip | 20707-5263
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Country | US
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Telephone | 301-498-5500
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Fax | 301-498-7346
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MS. GEORGIA GALIE
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Credential |
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Telephone | 301-498-5500
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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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