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General NPI Number Information
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NPI Number | 1336281435
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Entity Type | Individual
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Provider Name | CURTIS P SHELDON CRNA, MS APNA
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 01/03/2018
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Provider Practice Location Address
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Address Line | 1818 N MEADE ST
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City | APPLETON
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State | WI
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Zip | 54911-3454
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Country | US
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Telephone | 920-731-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 3305 N BALLARD RD STE A
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City | APPLETON
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State | WI
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Zip | 54911-9001
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Country | US
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Telephone | 920-202-3363
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Fax | 920-939-3827
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 96421-030
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License Number State | WI
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