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General NPI Number Information
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NPI Number | 1841998622
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Entity Type | Organization
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Legal Business Name | DELTA WAVE ANESTHESIA, LLC
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 360 E PULASKI HWY STE 2A
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City | ELKTON
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State | MD
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Zip | 21921-6595
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Country | US
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Telephone | 570-573-6280
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Fax |
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Provider Business Mailing Address
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Address Line | 237 BLUE BILL LN APT D
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-3351
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Country | US
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Telephone | 570-573-6280
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. STEPHEN A SARDINO
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Credential | MD
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Telephone | 570-573-6280
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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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