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General NPI Number Information
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NPI Number | 1316052368
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Entity Type | Individual
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Provider Name | BRENDA JO JONES CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4300 W 7TH ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5446
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Country | US
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Telephone | 501-257-5226
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 241282
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City | LITTLE ROCK
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State | AR
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Zip | 72223-0005
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Country | US
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Telephone | 501-680-5000
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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 | C00362
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License Number State | AR
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