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General NPI Number Information
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NPI Number | 1841305547
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Entity Type | Organization
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Legal Business Name | ORANGEBURG ANESTHESIA ASSOCIATES, P.A.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1175 COOK RD STE 125
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City | ORANGEBURG
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State | SC
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Zip | 29118-8201
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Country | US
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Telephone | 803-533-0664
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Fax | 803-533-0668
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Provider Business Mailing Address
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Address Line | 1175 COOK RD STE 125
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City | ORANGEBURG
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State | SC
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Zip | 29118-8201
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Country | US
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Telephone | 803-533-0664
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Fax | 803-533-0668
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY A DELANEY
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Credential | M.D.
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Telephone | 803-533-0664
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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 | 9016 AND 9355
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License Number State | SC
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