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General NPI Number Information
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NPI Number | 1508006412
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Entity Type | Individual
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Provider Name | MICHAEL JAMES SENECA CRNA, MSN
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Gender | Male
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 1670 EAGLE HARBOR PKWY STE B
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City | ORANGE PARK
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State | FL
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Zip | 32003-4820
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Country | US
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Telephone | 904-644-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 11250 OLD SAINT AUGUSTINE RD STE 15 #277
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City | JACKSONVILLE
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State | FL
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Zip | 32257-1088
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Country | US
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Telephone |
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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 | 9180755
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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 | 2258055
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 004013
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 798356
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 604947
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License Number State | PA
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