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General NPI Number Information
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NPI Number | 1922031442
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Entity Type | Organization
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Legal Business Name | NORTH AMERICAN PARTNERS IN ANESTHESIA (VIRGINIA), LLC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 3600 JOSEPH SIEWICK DR
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City | FAIRFAX
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State | VA
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Zip | 22033-1709
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Country | US
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Telephone | 703-391-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 WALT WHITMAN RD STE 300
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City | MELVILLE
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State | NY
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Zip | 11747-4300
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Country | US
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Telephone | 516-945-3000
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Fax |
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT SUPERVISOR
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Name | DENEA WRIGHT
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Credential |
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Telephone | 754-247-4124
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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 |
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License Number State | VA
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