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General NPI Number Information
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NPI Number | 1861896581
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Entity Type | Organization
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Legal Business Name | ART OF ANESTHESIA, PLLC
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 752 W END AVE 21B
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City | NEW YORK
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State | NY
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Zip | 10025-6230
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Country | US
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Telephone | 212-729-9353
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Fax |
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Provider Business Mailing Address
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Address Line | 752 W END AVE 21B
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City | NEW YORK
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State | NY
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Zip | 10025-6230
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Country | US
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Telephone | 212-729-9353
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Fax |
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Authorized Official
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Title or Position | ATTENDING ANESTHESIOLOGIST
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Name | DR. JULIA IWAMASA
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Credential | M.D.
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Telephone | 212-729-9353
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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 | 248951
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License Number State | NY
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