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General NPI Number Information
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NPI Number | 1174597017
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Entity Type | Individual
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Provider Name | LENEE FRANCES MCPHERSON CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 7330 N 16TH ST STE A200
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City | PHOENIX
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State | AZ
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Zip | 85020-5295
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Country | US
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Telephone | 602-200-9021
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Fax |
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Provider Business Mailing Address
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Address Line | 2640 IVY RD
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City | EADS
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State | TN
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Zip | 38028-3216
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Country | US
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Telephone | 615-289-9015
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN0000096244
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN0000010993
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License Number State | TN
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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 | CRNA130
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License Number State | AZ
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