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General NPI Number Information
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NPI Number | 1356331102
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Entity Type | Individual
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Provider Name | HAROLD SOLES CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 709 MIDDLE CREEK RD
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City | SEVIERVILLE
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State | TN
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Zip | 37862-5047
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Country | US
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Telephone | 952-442-9770
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E 10TH ST
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City | WACONIA
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State | MN
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Zip | 55387-4552
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Country | US
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Telephone | 952-442-9770
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Fax | 952-442-3620
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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 | RN90148
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License Number State | TN
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