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General NPI Number Information
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NPI Number | 1720009707
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Entity Type | Individual
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Provider Name | RICHARD THOMAS BABB CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 2293 SNOWDEN PL W
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City | MOBILE
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State | AL
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Zip | 36609-3130
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Country | US
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Telephone | 720-375-6658
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Fax |
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Provider Business Mailing Address
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Address Line | 2293 SNOWDEN PL W
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City | MOBILE
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State | AL
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Zip | 36609-3130
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Country | US
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Telephone | 720-375-6658
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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 | APRN11013776
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License Number State | FL
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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 | GAA-CRNA002275
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License Number State | GA
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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 | 1134101
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License Number State | TX
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