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General NPI Number Information
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NPI Number | 1659633386
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Entity Type | Individual
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Provider Name | JOSEPH BRENDAN NEGRELLI CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 405 W GRAND AVE
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City | DAYTON
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State | OH
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Zip | 45405-4720
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Country | US
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Telephone | 937-723-3200
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Fax | 937-293-0960
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Provider Business Mailing Address
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Address Line | PO BOX 947
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-0947
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Country | US
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Telephone | 717-263-5562
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Fax | 717-263-7001
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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 | RN339490
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License Number State | OH
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