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General NPI Number Information
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NPI Number | 1730146408
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Entity Type | Individual
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Provider Name | DEBRA SUE LUMBLEY CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 1100 N KENTUCKY AVE
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City | WEST PLAINS
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State | MO
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Zip | 65775-2029
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Country | US
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Telephone | 573-803-5206
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 WOLF CREEK RD
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City | GOREVILLE
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State | IL
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Zip | 62939-2031
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Country | US
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Telephone | 870-882-2239
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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 | 209021283
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License Number State | IL
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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 | C01387
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License Number State | AR
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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 | 2023047203
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License Number State | MO
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