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General NPI Number Information
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NPI Number | 1043218548
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Entity Type | Individual
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Provider Name | KEVIN W CATON CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 115 AIRPORT RD
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-2105
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Country | US
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Telephone | 903-885-9758
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Fax | 903-885-1052
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Provider Business Mailing Address
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Address Line | 160 TIMBER CREEK DR
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-3681
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Country | US
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Telephone | 903-885-9097
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Fax | 903-885-1052
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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 | 606119
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License Number State | TX
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