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General NPI Number Information
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NPI Number | 1538353859
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Entity Type | Individual
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Provider Name | LACEY SPIERS CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 2525 SEVERN AVE
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City | METAIRIE
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State | LA
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Zip | 70002-5932
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Country | US
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Telephone | 504-832-4200
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Fax | 504-378-5121
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Provider Business Mailing Address
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Address Line | 4905 GREGOIRE ST
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City | METAIRIE
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State | LA
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Zip | 70006-1232
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Country | US
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Telephone | 504-832-4200
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Fax | 504-378-5121
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN064440
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License Number State | LA
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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 | RN064440 AP02236
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License Number State | LA
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