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General NPI Number Information
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NPI Number | 1003808726
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Entity Type | Individual
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Provider Name | CRAIG JAMES TURNER CRNA
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 121 LAKESIDE AVE
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City | REDLANDS
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State | CA
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Zip | 92373-4941
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Country | US
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Telephone | 909-289-3255
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Fax |
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Provider Business Mailing Address
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Address Line | 121 LAKESIDE AVE
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City | REDLANDS
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State | CA
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Zip | 92373-4941
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Country | US
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Telephone | 909-307-0333
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 542757 / 2669
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License Number State | CA
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