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General NPI Number Information
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NPI Number | 1881639284
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Entity Type | Organization
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Legal Business Name | REGIONAL ANESTHESIA ASSOCIATES
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 740 E STATE ST
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City | SHARON
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State | PA
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Zip | 16146-3328
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Country | US
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Telephone | 724-983-3940
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Fax | 724-983-7276
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Provider Business Mailing Address
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Address Line | PO BOX 1168
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City | HERMITAGE
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State | PA
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Zip | 16148-0168
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Country | US
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Telephone | 724-983-0840
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Fax | 724-983-0841
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Authorized Official
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Title or Position | PRESIDENT OF GROUP
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Name | DR. TERRY BUCKWALTER
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Credential | D.O.
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Telephone | 724-983-3940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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