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General NPI Number Information
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NPI Number | 1518915198
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Entity Type | Individual
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Provider Name | WILLIAM F PORTER 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 | 04/02/2008
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Provider Practice Location Address
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Address Line | 721 MADISON ST
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-533-4888
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 288
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City | HUNTSVILLE
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State | AL
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Zip | 35804
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Country | US
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Telephone | 256-880-6711
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Fax | 256-880-6712
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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 | 1041055
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License Number State | AL
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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 | RN053019
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License Number State | GA
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