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NPI 1407899792

NPI 1407899792 : DARREN S WAMSLEY CRNA : GALLIPOLIS, OH

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General NPI Number Information
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    NPI Number           |    1407899792
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    Entity Type          |    Individual 
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    Provider Name        |    DARREN S WAMSLEY CRNA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/14/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    100 JACKSON PIKE 
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    City                 |    GALLIPOLIS
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    State                |    OH
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    Zip                  |    45631-1560
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    Country              |    US
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    Telephone            |    740-446-5227
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    Fax                  |    740-441-8058
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Provider Business Mailing Address
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    Address Line         |    90 JACKSON PIKE 
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    City                 |    GALLIPOLIS
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    State                |    OH
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    Zip                  |    45631-1560
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    Country              |    US
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    Telephone            |    740-446-5227
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    Fax                  |    740-441-8058
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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       |    COA.06862-NA
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    License Number State |    OH
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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       |    49761
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    License Number State |    WV
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