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General NPI Number Information
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NPI Number | 1700188224
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Entity Type | Individual
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Provider Name | CURTIS BROWN SMITH CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/04/2010
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 2822 S VISTA AVE
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City | BOISE
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State | ID
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Zip | 83705-4159
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Country | US
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Telephone | 208-385-7576
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1506
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City | CHEHALIS
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State | WA
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Zip | 98532-0409
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Country | US
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Telephone | 360-242-3008
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1013297
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License Number State | DC
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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 | 0024169270
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License Number State | VA
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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 | 62520
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License Number State | ID
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