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General NPI Number Information
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NPI Number | 1821233818
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Entity Type | Organization
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Legal Business Name | BALTIMORE ANESTHESIA ASSOCIATES, LLC.
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Dates
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Enumeration Date | 12/05/2008
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Last Update Date | 12/05/2008
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Provider Practice Location Address
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Address Line | 929 S HANOVER ST
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City | BALTIMORE
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State | MD
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Zip | 21230-4033
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Country | US
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Telephone | 410-783-9019
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Fax | 410-783-9019
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Provider Business Mailing Address
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Address Line | 929 S HANOVER ST
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City | BALTIMORE
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State | MD
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Zip | 21230-4033
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Country | US
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Telephone | 410-783-9019
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Fax | 410-783-9019
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER D ROBEL
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Credential | CRNA, MSNA
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Telephone | 443-762-8471
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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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Taxonomy #2
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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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