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General NPI Number Information
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NPI Number | 1033773593
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Entity Type | Individual
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Provider Name | HECTOR JORDAN ZAYAS CRNA
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Gender | Male
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 1202 S TYLER ST
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City | COVINGTON
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State | LA
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Zip | 70433-2330
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Country | US
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Telephone | 985-898-4583
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Fax | 985-898-4394
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Provider Business Mailing Address
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Address Line | 39239 Z OAKS LN
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City | PONCHATOULA
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State | LA
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Zip | 70454-4605
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Country | US
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Telephone | 985-320-8476
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN136074
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License Number State | LA
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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 | 120488
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License Number State | AR
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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 | 226730
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License Number State | LA
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