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General NPI Number Information
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NPI Number | 1205108719
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Entity Type | Individual
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Provider Name | WILLIAM JOHN ROLFES CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 3901 W 15TH ST
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City | PLANO
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State | TX
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Zip | 75075-7738
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Country | US
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Telephone | 214-970-6817
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Fax |
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Provider Business Mailing Address
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Address Line | 12222 MERIT DR STE 600
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City | DALLAS
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State | TX
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Zip | 75251-3294
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Country | US
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Telephone | 888-339-8727
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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 | 0024169815
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License Number State | VA
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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 | 43-558274-062
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License Number State | KS
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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 | 2024047434
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 912991
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License Number State | TX
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