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General NPI Number Information
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NPI Number | 1821038696
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Entity Type | Organization
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Legal Business Name | DANVILLE ANESTHESIA ASSOCIATES, LLP
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 230 W MAIN ST
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City | DANVILLE
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State | KY
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Zip | 40422-1871
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Country | US
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Telephone | 859-236-3726
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27766
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City | BELFAST
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State | ME
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Zip | 04915-2029
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Country | US
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Telephone | 502-907-0356
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Fax | 502-919-9780
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANJUM BUX
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Credential | M.D.
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Telephone | 859-236-3726
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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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Taxonomy #2
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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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