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General NPI Number Information
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NPI Number | 1770675936
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Entity Type | Organization
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Legal Business Name | ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 1117 E HOME RD
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City | SPRINGFIELD
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State | OH
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Zip | 45503-2725
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Country | US
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Telephone | 937-342-1619
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Fax | 937-390-7148
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Provider Business Mailing Address
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Address Line | PO BOX 3000
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City | SPRINGFIELD
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State | OH
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Zip | 45501-3000
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Country | US
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Telephone | 937-342-1619
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Fax | 937-390-7148
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAMEL ABRAHAM
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Credential | MD
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Telephone | 937-298-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 35054847
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License Number State | OH
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