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General NPI Number Information
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NPI Number | 1932152097
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Entity Type | Organization
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Legal Business Name | MILFORD ANESTHESIA ASSOCIATES LLC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 831 BOSTON POST RD STE 201
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City | MILFORD
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State | CT
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Zip | 06460-3536
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Country | US
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Telephone | 203-876-5920
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Fax | 877-368-3377
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Provider Business Mailing Address
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Address Line | PO BOX 417297
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City | BOSTON
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State | MA
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Zip | 02241-7297
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Country | US
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Telephone | 954-838-2371
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Fax | 913-242-6850
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Authorized Official
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Title or Position | OFFICER
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Name | KATHLEEN KONDAS
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Credential |
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Telephone | 954-838-2371
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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 |
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Taxonomy #2
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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 | CT
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