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General NPI Number Information
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NPI Number | 1043621980
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Entity Type | Individual
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Provider Name | CHAD SILVEY CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 2710 S RIFE MEDICAL LN
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City | ROGERS
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State | AR
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Zip | 72758-1452
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Country | US
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Telephone | 479-338-8000
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Fax | 479-338-3056
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Provider Business Mailing Address
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Address Line | 3719 STADIUM BLVD F12
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City | JONESBORO
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State | AR
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Zip | 72404-7913
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Country | US
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Telephone | 480-626-3835
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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 | 102240
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License Number State | AR
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