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General NPI Number Information
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NPI Number | 1164466165
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Entity Type | Individual
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Provider Name | DAVID B GARZA CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 2100 STANTONSBURG RD
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City | GREENVILLE
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State | NC
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Zip | 27834-2818
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Country | US
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Telephone | 252-847-4534
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Fax |
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Provider Business Mailing Address
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Address Line | 116 SURSEE COURT
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City | NEW BERN
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State | NC
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Zip | 28562
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Country | US
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Telephone | 252-633-3099
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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 | 206359
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License Number State | NC
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