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General NPI Number Information
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NPI Number | 1457680241
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Entity Type | Individual
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Provider Name | SHANE HILL C.R.N.A.
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Gender | Male
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 01/06/2014
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Provider Practice Location Address
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Address Line | 1660 S COLUMBIAN WAY
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone | 206-354-9089
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Fax |
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Provider Business Mailing Address
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Address Line | 7315 19TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-5705
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Country | US
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Telephone | 206-354-9089
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | 083848
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License Number State | PA
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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 | AP60273594
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License Number State | WA
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