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General NPI Number Information
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NPI Number | 1851625362
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF NEW HAVEN
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 204 NEW HAVEN AVE UNIT 6I
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City | DERBY
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State | CT
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Zip | 06418-2141
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Country | US
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Telephone | 914-830-3985
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Fax |
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Provider Business Mailing Address
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Address Line | 204 NEW HAVEN AVE UNIT 6I
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City | DERBY
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State | CT
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Zip | 06418-2141
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CRNA
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Name | LUIS RENE OROZCO
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Credential |
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Telephone | 914-830-3985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 066951
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License Number State | CT
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