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General NPI Number Information
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NPI Number | 1740288638
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Entity Type | Individual
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Provider Name | DAVID F SELLERS CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 4080 SUMMERHILL SQ
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City | TEXARKANA
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State | TX
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Zip | 75503-2730
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Country | US
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Telephone | 903-793-7994
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Fax | 903-793-7996
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Provider Business Mailing Address
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Address Line | PO BOX 988
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City | TEXARKANA
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State | TX
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Zip | 75504-0988
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Country | US
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Telephone | 903-793-7994
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Fax | 903-793-7996
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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 | AP101349
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License Number State | WI
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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 | 235571
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License Number State | TX
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