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General NPI Number Information
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NPI Number | 1306913090
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Entity Type | Individual
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Provider Name | CHRISTIAN RINZE PRONK CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 12/24/2020
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Provider Practice Location Address
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Address Line | 551 HILL COUNTRY DR
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City | KERRVILLE
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State | TX
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Zip | 78028-6085
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Country | US
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Telephone | 830-258-7748
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Fax |
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Provider Business Mailing Address
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Address Line | 420 WATER ST STE 105B
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City | KERRVILLE
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State | TX
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Zip | 78028-5200
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Country | US
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Telephone | 830-896-1344
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 653401
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License Number State | TX
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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 | ARNP9347589
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024167890
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP127016
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License Number State | TX
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