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General NPI Number Information
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NPI Number | 1770555773
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Entity Type | Organization
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Legal Business Name | CENTRAL PLAINS ANESTHESIA
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 11606 NICHOLAS ST
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City | OMAHA
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State | NE
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Zip | 68154
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Country | US
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Telephone | 402-493-2020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 388
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City | NEWTON
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State | KS
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Zip | 67114-0388
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Country | US
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Telephone | 316-281-3700
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Fax | 316-282-4322
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Authorized Official
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Title or Position | CRNA
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Name | LOUIS ALFRED DELUCA
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Credential | CRNA
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Telephone | 402-493-2020
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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 |
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License Number State |
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