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General NPI Number Information
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NPI Number | 1639391436
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Entity Type | Individual
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Provider Name | WAYNE CLARK HOXIE CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 1901 MEDI PARK DR STE 2
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City | AMARILLO
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State | TX
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Zip | 79106-2105
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Country | US
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Telephone | 806-350-7918
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 S MAYS ST STE 201
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City | ROUND ROCK
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State | TX
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Zip | 78664-7580
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Country | US
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Telephone | 512-244-4272
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Fax | 972-233-3666
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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 | 667362
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License Number State | TX
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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 | AP115685
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License Number State | TX
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