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General NPI Number Information
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NPI Number | 1801886262
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Entity Type | Individual
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Provider Name | ADAM CHARLES MAGNUS MD
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Gender | Male
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 420 S 5TH AVE
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City | WEST READING
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State | PA
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Zip | 19611-2143
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Country | US
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Telephone | 484-628-8269
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Fax |
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Provider Business Mailing Address
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Address Line | HANOVER ANESTHESIA AND PAIN MANAGEMENT 250 FAME AVENUE # 110
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City | HANOVER
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State | PA
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Zip | 17331
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Country | US
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Telephone | 717-632-9955
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | D0057163
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | D0057163
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD436288
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License Number State | PA
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