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General NPI Number Information
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NPI Number | 1487634267
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Entity Type | Individual
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Provider Name | LARRY KEVIN CREEL CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 205 MARENGO ST
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City | FLORENCE
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State | AL
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Zip | 35630-6033
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Country | US
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Telephone | 256-768-8624
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Fax |
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Provider Business Mailing Address
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Address Line | 105 HEATHROW CV
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City | FLORENCE
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State | AL
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Zip | 35633-1638
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Country | US
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Telephone | 256-740-0266
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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 | 1-079476
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License Number State | AL
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