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General NPI Number Information
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NPI Number | 1316454754
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Entity Type | Individual
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Provider Name | BRYNN MARIE STEWARD CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 4215 JOE RAMSEY BLVD E
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City | GREENVILLE
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State | TX
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Zip | 75401-7852
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Country | US
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Telephone | 903-408-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 542 BEDFORD FALLS LN
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City | ROCKWALL
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State | TX
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Zip | 75087-8428
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Country | US
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Telephone | 214-668-9971
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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 | 119873
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License Number State | TX
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