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General NPI Number Information
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NPI Number | 1164059218
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Entity Type | Individual
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Provider Name | DEREK M BESS CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 3300 MERCY HEALTH BLVD
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City | CINCINNATI
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State | OH
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Zip | 45211-1103
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Country | US
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Telephone | 513-215-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2816 FLAGSTONE DR
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City | WEST HARRISON
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State | IN
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Zip | 47060-6658
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Country | US
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Telephone | 513-582-6618
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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 | 0020114
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License Number State | OH
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