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General NPI Number Information
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NPI Number | 1760434690
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Entity Type | Organization
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Legal Business Name | ORANGE ANESTHESIA SERVICES P.C..
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 682 E MAIN ST SUITE 2A
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City | MIDDLETOWN
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State | NY
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Zip | 10940-2646
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Country | US
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Telephone | 845-343-6216
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Fax | 845-343-6228
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Provider Business Mailing Address
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Address Line | PO BOX 3118 682 E. MAIN ST
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City | MIDDLETOWN
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State | NY
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Zip | 10940-0810
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Country | US
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Telephone | 845-343-6216
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Fax | 845-343-6228
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MS. GWEN M LERMAN
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Credential | RN
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Telephone | 845-343-6216
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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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