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General NPI Number Information
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NPI Number | 1205943396
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Entity Type | Individual
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Provider Name | LUCINDA LOU HOWARD MSH
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Gender | Female
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 3325 N INTERSTATE AVE ANESTHESIA INT-S
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City | PORTLAND
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State | OR
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Zip | 97227-1020
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Country | US
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Telephone | 503-942-0045
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 N INTERSTATE AVE ANESTHESIA INT S
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City | PORTLAND
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State | OR
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Zip | 97227-1020
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Country | US
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Telephone | 503-942-0045
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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 | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | OR200060003CRNA
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License Number State | OR
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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 | 20006003CRNA
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License Number State | OR
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