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General NPI Number Information
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NPI Number | 1194036137
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Entity Type | Individual
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Provider Name | BRYAN JOSEPH LEGER CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 811 VIA DE LUNA DR
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City | PENSACOLA BEACH
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State | FL
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Zip | 32561-2259
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Country | US
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Telephone | 337-540-2357
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Fax |
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Provider Business Mailing Address
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Address Line | 811 VIA DE LUNA DR
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City | PENSACOLA BEACH
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State | FL
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Zip | 32561-2259
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Country | US
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Telephone | 337-540-2357
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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 | 783782
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License Number State | TX
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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 | ARNP9309067
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License Number State | FL
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