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NPI 1952113078

NPI 1952113078 : LOWELL ANESTHESIOLOGY SERVICE, INC. : LOWELL, MA

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General NPI Number Information
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    NPI Number           |    1952113078
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOWELL ANESTHESIOLOGY SERVICE, INC. 
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Dates
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    Enumeration Date     |    01/24/2025
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    Last Update Date     |    01/24/2025
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Provider Practice Location Address
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    Address Line         |    295 VARNUM AVE 
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    City                 |    LOWELL
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    State                |    MA
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    Zip                  |    01854-2193
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    Country              |    US
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    Telephone            |    978-937-6000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    33 BARTLETT ST STE 203 
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    City                 |    LOWELL
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    State                |    MA
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    Zip                  |    01852-1317
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    Country              |    US
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    Telephone            |    401-524-8973
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CHRISTOPHER MICHAEL AIUDI 
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    Credential           |    MD,PHARMD
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    Telephone            |    401-524-8973
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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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