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General NPI Number Information
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NPI Number | 1144861626
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Entity Type | Individual
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Provider Name | DAI AN LE CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 4343 N JOSEY LN
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City | CARROLLTON
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State | TX
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Zip | 75010-4603
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Country | US
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Telephone | 972-492-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 251 CINDY LN
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City | IOWA PARK
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State | TX
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Zip | 76367-6928
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Country | US
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Telephone | 940-224-0672
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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 | 1179754
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28301179A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 873088
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License Number State | WI
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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 | 639739
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 43-558266-111
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License Number State | KS
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