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General NPI Number Information
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NPI Number | 1023083847
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Entity Type | Individual
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Provider Name | DENISE SHARON MCCLURE-DRABICK CRNA, ARNP,BA ,RN
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Gender | Female
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 03/18/2017
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Provider Practice Location Address
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Address Line | 1709 LAKE PARK DR
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-1942
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Country | US
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Telephone | 904-557-8101
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 LAKE PARK DR
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-1942
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Country | US
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Telephone | 904-321-1630
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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 | RN-118994 NA-03139
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License Number State | OH
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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 | 213978
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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 | 209729
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License Number State | GA
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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 | 9187995
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 201042814
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 178000
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN-790152/CRNA-4035
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License Number State | CA
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