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General NPI Number Information
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NPI Number | 1770643330
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Entity Type | Individual
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Provider Name | DASHIELLE REDDELL FLOYD CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 820 CLARKSVILLE ST
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City | PARIS
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State | TX
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Zip | 75460-6027
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Country | US
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Telephone | 903-737-3122
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Fax |
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Provider Business Mailing Address
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Address Line | 1212 C R 13500W
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City | PARIS
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State | TX
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Zip | 75462
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Country | US
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Telephone | 903-737-8991
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 44450 CRNA
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License Number State | TX
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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 | AP105386
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License Number State | TX
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