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General NPI Number Information
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NPI Number | 1962966796
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Entity Type | Organization
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Legal Business Name | GALLERIA ANESTHESIA ASSOCIATES, LLC
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 3100 GALLERIA DR STE 305
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City | METAIRIE
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State | LA
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Zip | 70001-2196
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Country | US
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Telephone | 504-699-7690
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Fax | 504-553-1221
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Provider Business Mailing Address
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Address Line | 67252 INDUSTRY LN
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City | COVINGTON
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State | LA
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Zip | 70433-8704
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Country | US
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Telephone | 985-801-6258
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Fax | 985-801-3003
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Authorized Official
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Title or Position | DIRECTOR REVENUE CYCLE
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Name | LORI FREY
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Credential |
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Telephone | 985-801-6258
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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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