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General NPI Number Information
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NPI Number | 1215202197
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Entity Type | Individual
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Provider Name | STEPHEN ANDREW CARPENTER CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/12/2012
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 8717 W 110TH ST STE 600
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2126
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Country | US
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Telephone | 913-428-2900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30180
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City | SALT LAKE CITY
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State | UT
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Zip | 84130-0180
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Country | US
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Telephone |
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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 | TMP144722
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License Number State | KS
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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 | 353847-4406
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN 9288567
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License Number State | FL
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