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General NPI Number Information
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NPI Number | 1356581771
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Entity Type | Individual
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Provider Name | ROBIN WAYNE BANION CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 11500 GRANADA ST
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City | LEAWOOD
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State | KS
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Zip | 66211-1453
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Country | US
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Telephone | 816-478-1230
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 S CLIFF AVE STE 100
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City | INDEPENDENCE
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State | MO
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Zip | 64055-6954
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Country | US
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Telephone | 816-632-2101
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Fax | 816-649-3383
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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 | 2000144195
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License Number State | MO
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