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General NPI Number Information
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NPI Number | 1275650335
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Entity Type | Organization
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Legal Business Name | DANESTHESIA CRNA SERVICES, LLC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 1362 WATERSTON DR
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City | EVANS
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State | GA
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Zip | 30809-5037
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Country | US
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Telephone | 706-836-2397
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Fax | 706-364-6593
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Provider Business Mailing Address
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Address Line | 1362 WATERSTON DR
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City | EVANS
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State | GA
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Zip | 30809-5037
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Country | US
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Telephone | 706-836-2397
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Fax | 706-364-6593
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL E MCALVIN
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Credential | CRNA
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Telephone | 706-836-2397
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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 |
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License Number State |
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