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General NPI Number Information
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NPI Number | 1821119637
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND ANESTHESIOLOGISTS, INC.
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 11/09/2012
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Provider Practice Location Address
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Address Line | 935 JEFFERSON BLVD SUITE 1002
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City | WARWICK
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State | RI
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Zip | 02886-2225
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Country | US
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Telephone | 401-490-7551
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Fax | 401-490-7534
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Provider Business Mailing Address
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Address Line | 935 JEFFERSON BLVD SUITE 1002
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City | WARWICK
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State | RI
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Zip | 02886-2225
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Country | US
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Telephone | 401-490-7551
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Fax | 401-490-7534
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY G CONNELLY
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Credential | MD
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Telephone | 401-490-7551
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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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