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General NPI Number Information
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NPI Number | 1144622119
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Entity Type | Individual
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Provider Name | NATALIE MARIE KING CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 600 GRESHAM DR
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-473-0055
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Fax | 757-473-0075
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Provider Business Mailing Address
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Address Line | 2430 EMERALD PL STE 201
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City | GREENVILLE
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State | NC
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Zip | 27834-5743
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Country | US
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Telephone | 252-752-2140
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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 | 0024172089
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License Number State | VA
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