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General NPI Number Information
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NPI Number | 1184634339
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Entity Type | Individual
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Provider Name | FRANCIS GARY LUM CRNA
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 10/10/2017
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Provider Practice Location Address
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Address Line | 207 W LEGION RD
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City | BRAWLEY
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State | CA
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Zip | 92227-7780
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Country | US
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Telephone | 760-351-3333
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Fax | 619-582-8957
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Provider Business Mailing Address
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Address Line | PO BOX 564
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City | LA JOLLA
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State | CA
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Zip | 92038-0564
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Country | US
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Telephone | 619-846-4000
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Fax | 858-551-0599
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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 | NA2269
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License Number State | CA
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