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General NPI Number Information
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NPI Number | 1477505295
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Entity Type | Individual
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Provider Name | DENISE E NICHOLS CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 1465 COUNTY ROAD 365
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City | CRANE HILL
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State | AL
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Zip | 35053-4038
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Country | US
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Telephone | 256-590-3613
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Fax | 256-747-2262
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Provider Business Mailing Address
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Address Line | 1465 COUNTY ROAD 365
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City | CRANE HILL
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State | AL
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Zip | 35053-4038
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Country | US
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Telephone | 256-590-3613
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Fax | 256-747-2262
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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 | ARNP9204451
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License Number State | FL
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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 | 1-071048
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License Number State | AL
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