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General NPI Number Information
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NPI Number | 1750725594
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Entity Type | Individual
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Provider Name | SCOTT THOMAS EARL RN, CRNA
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Gender | Male
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 1930 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-7711
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Country | US
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Telephone | 602-532-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 816 LYMINGTON RD
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City | EL PASO
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State | TX
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Zip | 79928-7743
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Country | US
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Telephone | 801-510-3986
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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 | 866601
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License Number State | NV
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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 | 268343
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License Number State | AZ
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