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General NPI Number Information
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NPI Number | 1720159544
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Entity Type | Individual
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Provider Name | MICHAEL STEPHEN ARNOLD CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 380 HOSPITAL DR SUITE 410
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City | MACON
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State | GA
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Zip | 31217
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Country | US
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Telephone | 478-746-5644
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Fax | 478-633-4908
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone |
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Fax | 478-745-4849
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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 | RN053794
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License Number State | GA
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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 | APN0000009033
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License Number State | TN
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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 | RN053794 CRNA
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License Number State | GA
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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 | 22969
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License Number State | SC
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