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General NPI Number Information
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NPI Number | 1518956846
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Entity Type | Individual
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Provider Name | SHELDON C LAMOREAUX JR. CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 555 N DUKE ST
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City | LANCASTER
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State | PA
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Zip | 17602-2250
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Country | US
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Telephone | 717-299-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 806 LEXINGTON AVE
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City | HERSHEY
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State | PA
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Zip | 17033-1839
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Country | US
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Telephone | 717-533-9273
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Fax | 717-520-0462
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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 | RN289892L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-289892-L
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License Number State | PA
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