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General NPI Number Information
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NPI Number | 1831601970
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Entity Type | Organization
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Legal Business Name | PEERLESS ANESTHESIA LTD
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 5800 CENTRE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15206-3794
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Country | US
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Telephone | 412-924-0054
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11034
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City | PITTSBURGH
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State | PA
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Zip | 15237-0334
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Country | US
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Telephone | 412-867-8654
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | CHARLES HORTON
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Credential | MD
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Telephone | 412-867-8654
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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 | MD434538
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License Number State | PA
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