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General NPI Number Information
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NPI Number | 1861351140
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Entity Type | Organization
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Legal Business Name | GARRETT ANESTHESIA AND PAIN MANAGEMENT
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 324 E ANTIETAM ST STE 306A
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City | HAGERSTOWN
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State | MD
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Zip | 21740-5793
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Country | US
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Telephone | 240-469-3002
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Fax | 240-469-3193
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Provider Business Mailing Address
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Address Line | 957 NATIONAL HWY STE 3
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City | LAVALE
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State | MD
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Zip | 21502-7356
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Country | US
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Telephone | 240-362-7128
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Fax | 301-276-0609
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Authorized Official
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Title or Position | OWNER
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Name | MELVIN R GONZAGA
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Credential | MD
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Telephone | 240-362-7128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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