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General NPI Number Information
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NPI Number | 1336386200
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Entity Type | Individual
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Provider Name | WILLIAM EUGENE WINGFIELD CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 4815 ALAMEDA AVE
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City | EL PASO
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State | TX
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Zip | 79905-2705
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Country | US
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Telephone | 915-545-6560
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Fax | 915-783-8187
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Provider Business Mailing Address
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Address Line | 5536 EMERALD VIEW DR
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City | EL PASO
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State | TX
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Zip | 79932-3058
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Country | US
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Telephone | 915-314-8422
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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 | 080764
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License Number State | TX
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