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General NPI Number Information
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NPI Number | 1558395061
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Entity Type | Individual
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Provider Name | DAVID FROST CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 9258 WANDERING WAY
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City | OOLTEWAH
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State | TN
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Zip | 37363-6972
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Country | US
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Telephone | 423-667-9859
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Fax |
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Provider Business Mailing Address
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Address Line | 9258 WANDERING WAY
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City | OOLTEWAH
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State | TN
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Zip | 37363-6972
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Country | US
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Telephone | 423-667-9859
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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 | APN0000010855
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License Number State | TN
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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 | RN158635 CRNA
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License Number State | GA
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