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General NPI Number Information
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NPI Number | 1093449126
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Entity Type | Individual
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Provider Name | ROMAN DAVID COMER CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 3340 PLAYERS CLUB PKWY STE 350
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City | MEMPHIS
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State | TN
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Zip | 38125-8949
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Country | US
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Telephone | 901-844-1590
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Fax |
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Provider Business Mailing Address
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Address Line | 105 SMALL OAK DR
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City | HUMBOLDT
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State | TN
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Zip | 38343-8646
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Country | US
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Telephone | 731-803-0900
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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 | 7344
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License Number State | NC
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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 | 0024196051
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 214631
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 214631
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 214631
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License Number State | TN
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