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General NPI Number Information
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NPI Number | 1770104846
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF CENTRAL PA
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Dates
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Enumeration Date | 04/30/2020
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 1019 GHANER RD
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City | PORT MATILDA
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State | PA
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Zip | 16870-7235
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Country | US
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Telephone | 814-862-9603
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Fax | 814-826-2289
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Provider Business Mailing Address
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Address Line | 1019 GHANER RD
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City | PORT MATILDA
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State | PA
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Zip | 16870-7235
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Country | US
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Telephone | 814-862-9603
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Fax | 814-826-2289
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. KEVIN JAMES DINCHER
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Credential | DMD
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Telephone | 570-772-2506
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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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