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General NPI Number Information
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NPI Number | 1205250842
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Entity Type | Individual
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Provider Name | MICHAEL FRANK CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 435 2ND ST
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City | NEWPORT
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State | TN
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Zip | 37821-3703
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Country | US
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Telephone | 423-625-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1229 PAGANO CT
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City | PORT ORANGE
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State | FL
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Zip | 32129-4030
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Country | US
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Telephone | 386-882-2825
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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 | 3016592
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN9307967
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 25800
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License Number State | TN
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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 | ARNP9307967
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License Number State | FL
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