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General NPI Number Information
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NPI Number | 1942011192
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Entity Type | Organization
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Legal Business Name | SERENE SKY ANESTHESIA LLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 2100 WESCOTT DR
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4604
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Country | US
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Telephone | 908-788-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 15 MAIN ST UNIT 82
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City | FLEMINGTON
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State | NJ
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Zip | 08822-7404
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Country | US
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Telephone | 609-412-5045
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACOB E EMBEE
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Credential | DO
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Telephone | 609-412-5045
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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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