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General NPI Number Information
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NPI Number | 1255337085
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Entity Type | Individual
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Provider Name | DONALD JAMES STAFFORD CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | CABRINI HOSPITAL ANESTHESIA DEPT 3330 MASONIC DRIVE
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City | ALEXANDRIA
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State | LA
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Zip | 71301
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Country | US
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Telephone | 318-448-6790
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4731
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City | PINEVILLE
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State | LA
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Zip | 71361-4731
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Country | US
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Telephone | 318-641-9483
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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 | C01528
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License Number State | AR
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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 | AP01558
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License Number State | LA
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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 | 665182
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License Number State | TX
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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 | 68582-1558
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License Number State | LA
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