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General NPI Number Information
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NPI Number | 1407809809
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Entity Type | Individual
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Provider Name | DOROTHY LYNN BLOODWORTH CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 805 PAMPLICO HWY
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City | FLORENCE
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State | SC
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Zip | 29505-6047
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Country | US
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Telephone | 843-674-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23321
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City | NEW YORK
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State | NY
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Zip | 10087-3321
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Country | US
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Telephone |
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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 | RN130988
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License Number State | GA
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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 | 25690A
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License Number State | SC
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