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General NPI Number Information
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NPI Number | 1720072887
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Entity Type | Individual
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Provider Name | SAUNDRA L DOCKINS CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 225 ABRAHAM FLEXNER WAY 2ND FLOOR
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City | LOUISVILLE
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State | KY
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Zip | 40202-1882
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Country | US
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Telephone | 502-587-4799
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Fax | 502-540-3730
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Provider Business Mailing Address
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Address Line | 6801 DIXIE HWY SUITE 130
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City | LOUISVILLE
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State | KY
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Zip | 40258-3913
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Country | US
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Telephone | 502-587-4799
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Fax | 502-540-3730
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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 | 1023116
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28155731A
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License Number State | IN
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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 | 3000418
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License Number State | KY
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