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General NPI Number Information
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NPI Number | 1477632123
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Entity Type | Individual
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Provider Name | ROBERT W MCEACHEN CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 10310 STATE LINE RD STE A ST JOSEPH ANESTHESIA SERVICES
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City | LEAWOOD
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State | KS
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Zip | 66206-2695
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Country | US
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Telephone | 913-647-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 7537 MAIN ST
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City | KANSAS CITY
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State | MO
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Zip | 64114-1124
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Country | US
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Telephone | 816-786-8158
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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 | 144284
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License Number State | MO
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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 | 55371
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1375832091
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License Number State | KS
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