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General NPI Number Information
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NPI Number | 1538192844
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Entity Type | Individual
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Provider Name | JOHN ZUKE CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 810 FAIRGROVE CHURCH RD
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City | HICKORY
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State | NC
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Zip | 28602-9617
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Country | US
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Telephone | 828-326-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 4809 ELMHURST DR NE
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City | HICKORY
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State | NC
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Zip | 28601-8719
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Country | US
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Telephone |
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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 | ARNP3145922
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License Number State | FL
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