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General NPI Number Information
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NPI Number | 1285101634
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Entity Type | Individual
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Provider Name | MR. JARED DANIEL OING
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Gender | Male
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 16260 S RANCHO SAHUARITA BLVD
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City | SAHUARITA
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State | AZ
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Zip | 85629-0047
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Country | US
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Telephone | 520-416-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-522-8603
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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 | 76913
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License Number State | SC
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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 | 22347
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License Number State | SC
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