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General NPI Number Information
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NPI Number | 1518110543
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Entity Type | Individual
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Provider Name | KEVIN ROBERT DRISCOLL RN
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Gender | Male
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 418 CURIE BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4217
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Country | US
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Telephone | 215-898-8281
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Fax |
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Provider Business Mailing Address
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Address Line | 555 CHESTERTOWN ST
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City | GAITHERSBURG
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State | MD
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Zip | 20878-5717
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Country | US
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Telephone | 301-873-1060
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Fax | 772-325-5881
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | R169146
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License Number State | MD
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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 | R169146
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License Number State | MD
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