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General NPI Number Information
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NPI Number | 1942169768
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Entity Type | Organization
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Legal Business Name | ATP ANESTHESIA SERVICES LLC
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 611 2ND ST STE B
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City | MARIETTA
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State | OH
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Zip | 45750-2123
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Country | US
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Telephone | 740-373-7207
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Fax | 740-374-9087
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Provider Business Mailing Address
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Address Line | 13642 STATE ROUTE 676
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City | WATERFORD
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State | OH
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Zip | 45786-5408
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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 | OWNER
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Name | ANASTASIOS PANTELIDIS
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Credential | MD
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Telephone | 740-373-7207
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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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