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General NPI Number Information
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NPI Number | 1255396495
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Entity Type | Individual
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Provider Name | STEVE ALLEN RHYNE CRNA
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 201 S 14TH STREET SIH MEDICAL GROUP ANESTHESIOLOGY
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City | HERRIN
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State | IL
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Zip | 62948
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Country | US
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Telephone | 618-942-2171
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Fax | 618-351-4919
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Provider Business Mailing Address
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Address Line | 1239 E MAIN ST
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City | CARBONDALE
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State | IL
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Zip | 62901-3175
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Country | US
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Telephone | 618-549-0721
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Fax | 618-529-0449
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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 | 119499
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License Number State | MO
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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 | 209005026
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License Number State | IL
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