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General NPI Number Information
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NPI Number | 1912330283
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Entity Type | Organization
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Legal Business Name | UPPER BAY ANESTHESIA, LLC
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Dates
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Enumeration Date | 08/09/2013
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 103 CHESAPEAKE BLVD STE C
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City | ELKTON
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State | MD
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Zip | 21921-6391
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Country | US
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Telephone | 443-245-3470
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | ELKTON
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State | MD
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Zip | 21922-0190
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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 | GENERAL PARTNER/RESIDENT AGENT
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Name | JOHN CARLYLE
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Credential |
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Telephone | 443-907-3089
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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 |
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License Number State |
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