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General NPI Number Information
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NPI Number | 1467497925
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Entity Type | Individual
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Provider Name | CHRISTOPHER M SCOVIL CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1221 WHIPPLE ST
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City | EAU CLAIRE
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State | WI
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Zip | 54703-5270
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Country | US
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Telephone | 715-838-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 13400 E SHEA BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-5452
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Country | US
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Telephone | 480-301-8000
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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 | 153906
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License Number State | WI
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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 | 326372
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License Number State | AZ
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