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General NPI Number Information
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NPI Number | 1780645341
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Entity Type | Individual
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Provider Name | FRANK JOHN GORSKI CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MAHASKA HOSPITAL 1229 C AVE
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City | OSKALOOSA
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State | IA
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Zip | 52577
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Country | US
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Telephone | 641-672-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 HILLTOP LN
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City | FAIRFIELD
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State | IA
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Zip | 52556-4134
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Country | US
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Telephone | 641-472-8814
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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 | 0024166612
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License Number State | VA
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