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General NPI Number Information
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NPI Number | 1699766493
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Entity Type | Individual
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Provider Name | NEAL ANTHONY DUPRE CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 105 BLUE RIDGE DR
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City | CARENCRO
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State | LA
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Zip | 70520-5372
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Country | US
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Telephone | 337-896-9639
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NORTHRIDGE RD
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City | ATLANTA
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State | GA
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Zip | 30350-3315
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Country | US
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Telephone | 337-896-9639
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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 | RN043495 AP01447
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License Number State | LA
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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 | 721824
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License Number State | MS
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