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General NPI Number Information
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NPI Number | 1124324678
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Entity Type | Individual
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Provider Name | JOHN C MEADOWS CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 100 MCGREGOR ST
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City | MANCHESTER
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State | NH
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Zip | 03102-3730
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Country | US
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Telephone | 603-668-3545
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Fax |
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Provider Business Mailing Address
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Address Line | 5855 BREMO RD SUITE 100
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City | RICHMOND
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State | VA
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Zip | 23226-1930
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Country | US
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Telephone | 804-288-6258
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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 | 0024169171
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License Number State | VA
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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 | 090850-23
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License Number State | NH
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