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General NPI Number Information
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NPI Number | 1346350980
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Entity Type | Individual
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Provider Name | MISTY W TIBBITT CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 5106 GA HIGHWAY 41 S
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City | BUENA VISTA
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State | GA
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Zip | 31803-8801
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Country | US
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Telephone | 706-741-1361
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4380
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City | ALPHARETTA
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State | GA
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Zip | 30023-4380
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Country | US
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Telephone | 706-741-1361
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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 | 154668
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License Number State | GA
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