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General NPI Number Information
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NPI Number | 1134768922
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Entity Type | Individual
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Provider Name | NICHOLAS FELTER CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/27/2019
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Last Update Date | 12/27/2019
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Provider Practice Location Address
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Address Line | 29000 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-5219
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Country | US
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Telephone | 440-835-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 4186 W 222ND ST
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City | FAIRVIEW PARK
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State | OH
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Zip | 44126-1073
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Country | US
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Telephone | 419-515-8228
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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 | 127192
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License Number State | OH
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