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General NPI Number Information
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NPI Number | 1306890819
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Entity Type | Individual
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Provider Name | SCOTT ROBERT DOYLE CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 1015 S HACKETT RD STE B
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City | WATERLOO
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State | IA
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Zip | 50701-3543
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Country | US
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Telephone | 319-406-5990
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Fax | 319-234-5994
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Provider Business Mailing Address
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Address Line | PO BOX 2758
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City | WATERLOO
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State | IA
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Zip | 50704-2758
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Country | US
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Telephone | 319-235-5390
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Fax | 319-233-1630
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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 | D109377
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License Number State | IA
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