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General NPI Number Information
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NPI Number | 1215252929
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Entity Type | Individual
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Provider Name | CAMERON R OLIVER RN, CRNA
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Gender | Male
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 2101 ELM STREET FARGO
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City | FARGO
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State | ND
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Zip | 58102
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Country | US
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Telephone | 701-232-3241
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Fax |
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Provider Business Mailing Address
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Address Line | 8808 LOST RIVER RD
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City | HORACE
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State | ND
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Zip | 58047-9742
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Country | US
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Telephone | 507-226-1087
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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 | 15699-NA
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License Number State | OH
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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 | 5721-33
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License Number State | WI
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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 | D125794
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License Number State | IA
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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 | APN0991084CRNA
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP9289597
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 683051
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN656096
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP125440
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R1815566
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License Number State | MN
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