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General NPI Number Information
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NPI Number | 1508814013
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Entity Type | Individual
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Provider Name | BRIAN FLEEMAN CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 2100 N WALDRON ST STE 2
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City | HUTCHINSON
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State | KS
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Zip | 67502-1176
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Country | US
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Telephone | 620-833-0960
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Fax | 833-615-2260
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Provider Business Mailing Address
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Address Line | 2100 N WALDRON ST STE 2
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City | HUTCHINSON
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State | KS
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Zip | 67502-1176
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Country | US
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Telephone | 620-833-0960
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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 | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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License Number | 55152
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License Number State | KS
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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 | 55152
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License Number State | KS
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