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General NPI Number Information
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NPI Number | 1225079544
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Entity Type | Individual
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Provider Name | MICHELLE L STOTTS CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 720 PINNELL ST JACKSON GENERAL HOSPITAL
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City | RIPLEY
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State | WV
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Zip | 25271
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Country | US
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Telephone | 304-373-1544
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Fax | 304-373-0044
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Provider Business Mailing Address
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Address Line | 200 HOSPITAL DR MID ATLANTIC ANESTHESIA CONSULTANTS
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City | SPENCER
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State | WV
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Zip | 25276-1050
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Country | US
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Telephone | 304-346-9400
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Fax | 304-345-7320
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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 | 52711
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License Number State | WV
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