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General NPI Number Information
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NPI Number | 1619917846
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Entity Type | Individual
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Provider Name | JOHN GASPAROVICH CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 10200 W 105TH ST STE 100
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City | OVERLAND PARK
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State | KS
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Zip | 66212-5750
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Country | US
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Telephone | 913-492-0800
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Fax | 913-599-0951
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Provider Business Mailing Address
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Address Line | 20375 W 151ST ST SUITE 306
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City | OLATHE
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State | KS
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Zip | 66061-5306
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Country | US
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Telephone | 913-782-2292
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Fax | 913-782-2381
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 64649
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License Number State | KS
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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 | R173062-5
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 55010
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License Number State | KS
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