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General NPI Number Information
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NPI Number | 1346830353
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Entity Type | Organization
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Legal Business Name | JAMES MCEWAN, C.R.N.A. PLLC
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Dates
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Enumeration Date | 01/23/2021
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Last Update Date | 01/23/2021
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Provider Practice Location Address
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Address Line | 614 PECAN CREEK DR
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City | SUNNYVALE
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State | TX
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Zip | 75182-9631
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Country | US
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Telephone | 972-270-2066
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Fax | 866-507-7848
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Provider Business Mailing Address
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Address Line | 614 PECAN CREEK DR
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City | SUNNYVALE
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State | TX
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Zip | 75182-9631
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Country | US
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Telephone | 972-270-2066
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Fax | 866-507-7848
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES MAX MCEWAN
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Credential | CRNA
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Telephone | 214-557-1928
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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 |
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License Number State |
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