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General NPI Number Information
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NPI Number | 1548263510
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Entity Type | Individual
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Provider Name | LAUREL K FOX CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 125 DOUGHTY ST STE 430
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City | CHARLESTON
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State | SC
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Zip | 29403-5741
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Country | US
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Telephone | 843-720-8448
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Fax | 843-720-8449
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Provider Business Mailing Address
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Address Line | 14 CHADWICK DR
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City | CHARLESTON
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State | SC
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Zip | 29407-7464
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Country | US
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Telephone | 843-766-7819
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Fax | 843-720-8449
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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 | 25345
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License Number State | SC
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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 | 37462
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License Number State | TX
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