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General NPI Number Information
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NPI Number | 1548444599
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Entity Type | Individual
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Provider Name | CREIGHTON K CATHEY CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 603 FALL WINDS CIR
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City | BOSSIER CITY
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State | LA
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Zip | 71111-6139
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Country | US
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Telephone | 318-230-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 603 FALL WINDS CIR
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City | BOSSIER CITY
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State | LA
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Zip | 71111-6139
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Country | US
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Telephone | 318-230-3000
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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 | AP05405
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License Number State | LA
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