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General NPI Number Information
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NPI Number | 1386144525
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Entity Type | Individual
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Provider Name | CRAIG ROBERT URBANKE CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2435 FOREST DR
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City | COLUMBIA
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State | SC
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Zip | 29204-2026
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Country | US
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Telephone | 803-256-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 9012 AGNES PARK LN
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-9178
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Country | US
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Telephone | 315-725-2562
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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 | 280128
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 28155
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License Number State | SC
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