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NPI 1598166571

NPI 1598166571 : LEIGH ALLISON O'BRYAN CRNA : AKRON, OH

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General NPI Number Information
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    NPI Number           |    1598166571
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    Entity Type          |    Individual 
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    Provider Name        |    LEIGH ALLISON O'BRYAN CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/10/2014
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    Last Update Date     |    03/19/2018
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Provider Practice Location Address
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    Address Line         |    1 AKRON GENERAL AVE 
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    City                 |    AKRON
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    State                |    OH
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    Zip                  |    44307-2432
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    Country              |    US
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    Telephone            |    330-344-6000
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    Fax                  |    330-344-1714
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Provider Business Mailing Address
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    Address Line         |    4200 WHITMAN AVE 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44113
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    Country              |    US
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    Telephone            |    304-532-7022
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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       |    12.006433
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    License Number State |    CT
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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       |    COA.16488
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    License Number State |    OH
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