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General NPI Number Information
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NPI Number | 1093822637
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Entity Type | Individual
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Provider Name | WAYNE E BERKBIGLER CRNA
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 915 STATE HIGHWAY 248 SUITE B
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City | BRANSON
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State | MO
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Zip | 65616-8003
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Country | US
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Telephone | 417-335-8572
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Fax | 417-335-8573
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Provider Business Mailing Address
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Address Line | 1724 HILL HAVEN RD
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City | HOLLISTER
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State | MO
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Zip | 65672-4833
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Country | US
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Telephone | 417-336-3662
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Fax | 417-334-7529
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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 | 049094
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License Number State | MO
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