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General NPI Number Information
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NPI Number | 1053395905
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Entity Type | Individual
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Provider Name | CHRISTOPHER M CLIFFORD CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 31519 WINTERPLACE PKWY STE 3
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City | SALISBURY
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State | MD
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Zip | 21804-1894
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Country | US
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Telephone | 410-546-2500
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Fax | 443-250-2454
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Provider Business Mailing Address
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Address Line | 508 W COLLEGE AVE
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City | SALISBURY
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State | MD
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Zip | 21801-6129
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Country | US
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Telephone | 443-235-6853
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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 | R118456
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License Number State | MD
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