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General NPI Number Information
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NPI Number | 1326241662
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Entity Type | Individual
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Provider Name | ROY E TOLER CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 501 BATH RD
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City | BRISTOL
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State | PA
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Zip | 19007-3101
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Country | US
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Telephone | 215-785-9200
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Fax | 215-672-4264
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Provider Business Mailing Address
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Address Line | PO BOX 650782
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City | DALLAS
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State | TX
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Zip | 75265-0782
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Country | US
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Telephone | 302-733-0806
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Fax | 302-733-0854
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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 | RN354006L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NO11542200
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License Number State | NJ
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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 | 26NJ00285600
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License Number State | NJ
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