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General NPI Number Information
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NPI Number | 1629733829
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Entity Type | Individual
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Provider Name | JOSEPH LOO CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1924 ALCOA HWY
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City | KNOXVILLE
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State | TN
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Zip | 37920-1511
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Country | US
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Telephone | 865-305-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 FORSYTHE ST
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City | KNOXVILLE
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State | TN
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Zip | 37917-3012
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Country | US
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Telephone | 770-853-3269
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1176841
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License Number State | AL
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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 | 37935
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License Number State | TN
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