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General NPI Number Information
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NPI Number | 1356793152
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Entity Type | Individual
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Provider Name | BRIAN SCHAPANSKY CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 10150 SE 32ND AVE
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City | MILWAUKIE
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State | OR
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Zip | 97222-6516
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Country | US
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Telephone | 503-513-8318
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT LA 24105
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City | PASADENA
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State | CA
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Zip | 91185-4105
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Country | US
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Telephone | 503-372-2740
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Fax | 503-372-2754
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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 | 201602070CRNA
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License Number State | OR
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