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General NPI Number Information
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NPI Number | 1407414352
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Entity Type | Individual
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Provider Name | ANKUR PATEL CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 200 STONECREST BLVD
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City | SMYRNA
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State | TN
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Zip | 37167-6810
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Country | US
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Telephone | 615-786-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 HOURGLASS PT
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City | HIXSON
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State | TN
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Zip | 37343-3298
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Country | US
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Telephone | 423-400-0027
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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 | 195106
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License Number State | TN
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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 | 3014022
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 38586
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License Number State | TN
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