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General NPI Number Information
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NPI Number | 1740321249
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Entity Type | Individual
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Provider Name | JOYCE LYNNE AULTMAN CRNA. MS
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1627 W 26TH ST
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City | JOPLIN
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State | MO
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Zip | 64804-0398
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Country | US
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Telephone | 417-627-9601
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Fax | 417-627-9032
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Provider Business Mailing Address
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Address Line | 1627 W 26TH ST
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City | JOPLIN
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State | MO
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Zip | 64804-0398
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Country | US
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Telephone | 417-627-9601
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Fax | 417-627-9032
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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 | 1-052997
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License Number State | AL
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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 | 2017005249
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2019013530
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License Number State | MO
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