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General NPI Number Information
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NPI Number | 1770701492
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Entity Type | Individual
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Provider Name | SCOTT R SCHALKLE CRNA
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 5931 E SIERRA MORENA ST
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City | MESA
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State | AZ
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Zip | 85215-7802
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Country | US
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Telephone | 602-509-5353
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Fax | 480-419-7553
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Provider Business Mailing Address
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Address Line | 5931 E SIERRA MORENA ST
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City | MESA
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State | AZ
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Zip | 85215-7802
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Country | US
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Telephone | 602-509-5353
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Fax | 480-419-7553
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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 | RN074139
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License Number State | AZ
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