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General NPI Number Information
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NPI Number | 1689700676
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Entity Type | Individual
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Provider Name | DONALD W SHINSKIE CRNA
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 3017 13TH ST
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City | GULFPORT
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State | MS
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Zip | 39501-1833
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Country | US
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Telephone | 228-831-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 435 THOMAS ST
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City | BAY ST LOUIS
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State | MS
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Zip | 39520-2019
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Country | US
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Telephone | 910-389-1260
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 170203
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License Number State | NC
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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 | 2206
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License Number State | SC
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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 | 0001160419
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN0000011680
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN279123L
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 901620
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License Number State | MS
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