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General NPI Number Information
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NPI Number | 1396318358
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Entity Type | Individual
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Provider Name | DAVID W. RIDER DNP, CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 101 MANNING DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4220
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Country | US
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Telephone | 984-974-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 323 E CHAPEL HILL ST UNIT 511
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City | DURHAM
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State | NC
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Zip | 27702-2423
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Country | US
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Telephone | 440-465-6169
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 3032652
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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 | 302652
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License Number State | NC
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