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General NPI Number Information
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NPI Number | 1780914432
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Entity Type | Individual
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Provider Name | ROBERT CHARLES STRICKLAND CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/31/2009
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 1585 3RD ST
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City | FORT POLK
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State | LA
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Zip | 71459-5102
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Country | US
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Telephone | 502-624-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 289 IRELAND AVE
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City | FORT KNOX
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State | KY
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Zip | 40121-5111
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1123297
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28189826A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN 256716
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3006434
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License Number State | KY
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