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General NPI Number Information
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NPI Number | 1952387276
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Entity Type | Organization
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Legal Business Name | LONG ISLAND ANESTHESIA PHYSICIANS LLP
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 333 ROUTE 25A SUITE 225
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City | ROCKY POINT
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State | NY
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Zip | 11778
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Country | US
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Telephone | 631-744-3671
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Fax | 631-744-6187
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Provider Business Mailing Address
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Address Line | 333 ROUTE 25A SUITE 225
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City | ROCKY POINT
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State | NY
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Zip | 11778
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Country | US
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Telephone | 631-744-3671
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Fax | 631-744-6187
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | HARRY BIBER
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Credential |
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Telephone | 631-744-6371
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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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