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General NPI Number Information
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NPI Number | 1942013396
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Entity Type | Organization
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Legal Business Name | MAS ANESTHESIA BILLING, LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 2 APPLE RIDGE WAY
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2380
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Country | US
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Telephone | 804-301-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 2 APPLE RIDGE WAY
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-2380
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Country | US
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Telephone | 804-301-7337
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Fax |
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Authorized Official
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Title or Position | AGENT
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Name | DR. MARCIA COPELAND
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Credential | MD
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Telephone | 804-301-7337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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