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General NPI Number Information
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NPI Number | 1013935964
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Entity Type | Individual
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Provider Name | HAROLD STEVENSON MUSTIN III CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2021 PERDIDO ST
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City | NEW ORLEANS
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State | LA
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Zip | 70112-1352
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Country | US
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Telephone | 504-903-3370
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Fax | 504-897-7008
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Provider Business Mailing Address
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Address Line | 5826 CLARA ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-7030
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Country | US
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Telephone | 504-975-7596
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Fax | 504-897-7008
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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 | 15967
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 7769
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN094436-AP04472
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024195297
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License Number State | VA
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