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General NPI Number Information
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NPI Number | 1508806183
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Entity Type | Individual
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Provider Name | TREY E EARLY CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | 22524 SHORESIDE DR
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City | LAND O LAKES
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State | FL
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Zip | 34639-6614
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Country | US
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Telephone | 813-006-6097
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Fax |
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Provider Business Mailing Address
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Address Line | 13330 USF LAUREL DR
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City | TAMPA
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State | FL
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Zip | 33612-6601
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Country | US
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Telephone | 813-996-6097
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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 | 1055329
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License Number State | KY
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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 | ARNP9275240
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License Number State | FL
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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 | 9275240
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License Number State | FL
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