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General NPI Number Information
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NPI Number | 1275504706
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Entity Type | Individual
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Provider Name | MELISSA GAIL EISENHAUER CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1800 LINCOLN AVE
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City | EVANSVILLE
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State | IN
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Zip | 47722-1553
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Country | US
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Telephone | 812-488-5650
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Fax |
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Provider Business Mailing Address
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Address Line | 10400 DEVON CT
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City | NEWBURGH
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State | IN
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Zip | 47630-8888
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Country | US
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Telephone | 270-977-0315
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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 | 3004125
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License Number State | KY
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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 | 28172239A
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License Number State | IN
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