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General NPI Number Information
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NPI Number | 1477871242
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Entity Type | Individual
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Provider Name | CHRISTOPHER W HOGAN CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 750 NE 13TH ST SUITE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104
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Country | US
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Telephone | 405-271-5351
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Fax | 405-271-8695
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Provider Business Mailing Address
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Address Line | 1400 W 4TH ST SUITE 200
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City | COFFEYVILLE
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State | KS
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Zip | 67337-3306
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Country | US
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Telephone | 620-252-1581
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Fax | 620-252-1592
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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 | 2005027078
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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 | R0094985
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License Number State | OK
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