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General NPI Number Information
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NPI Number | 1063497402
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Entity Type | Individual
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Provider Name | THOMAS H TOON CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 7500 STATE RD ANESTHESIA INTENSIVE CARE CONSULTANTS INC
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City | CINCINNATI
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State | OH
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Zip | 45255-2439
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Country | US
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Telephone | 859-341-7246
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Fax | 859-341-7867
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Provider Business Mailing Address
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Address Line | L-6147
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City | CINCINNATI
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State | OH
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Zip | 45272-6147
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Country | US
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Telephone | 859-341-7246
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Fax | 859-341-7867
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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 | 170575
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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 | 047615
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License Number State | OH
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