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General NPI Number Information
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NPI Number | 1659332211
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Entity Type | Individual
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Provider Name | ELLIOTT F. COWART III CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 43 NEW SCOTLAND AVE
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City | ALBANY
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State | NY
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Zip | 12208-3412
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Country | US
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Telephone | 518-262-4305
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Fax | 518-262-4736
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Provider Business Mailing Address
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Address Line | 3998 FAIR RIDGE DRIVE SUITE 300
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City | FAIRFAX
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State | VA
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Zip | 22033-2921
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Country | US
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Telephone | 703-295-9360
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Fax | 703-766-9725
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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 | 0024166726
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License Number State | VA
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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 | 26NJ00251500
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License Number State | NJ
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