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General NPI Number Information
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NPI Number | 1457420168
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Entity Type | Individual
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Provider Name | DAVID JAMES FOURNIER CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 465 N ROXBURY DR STE 802
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4211
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Country | US
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Telephone | 310-837-3712
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Fax | 310-837-7240
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Provider Business Mailing Address
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Address Line | 10484 TROON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90064-4438
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Country | US
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Telephone | 310-837-3712
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Fax | 310-837-7240
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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 | NA1152
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License Number State | CA
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