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General NPI Number Information
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NPI Number | 1578921300
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Entity Type | Individual
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Provider Name | JAMES R HOOTEN CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 2720 UNIVERSITY BLVD
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City | BIRMINGHAM
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State | AL
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Zip | 35233-3408
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Country | US
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Telephone | 205-989-1091
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Fax | 205-989-1087
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Provider Business Mailing Address
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Address Line | 2151 OLD ROCKY RIDGE ROAD SUITE 106
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City | BIRMINGHAM
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State | AL
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Zip | 35216-7251
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Country | US
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Telephone | 205-989-1091
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Fax | 205-989-1087
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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 | 1-126753
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License Number State | AL
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