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NPI 1801050828

NPI 1801050828 : STEVEN P BLANCHARD CRNA : KENNER, LA

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General NPI Number Information
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    NPI Number           |    1801050828
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN P BLANCHARD CRNA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/18/2008
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    Last Update Date     |    02/04/2009
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Provider Practice Location Address
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    Address Line         |    180 W ESPLANADE AVE 
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    City                 |    KENNER
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    State                |    LA
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    Zip                  |    70065-2467
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    Country              |    US
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    Telephone            |    504-468-8600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3000 34TH ST 
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    City                 |    METAIRIE
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    State                |    LA
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    Zip                  |    70001-2016
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    Country              |    US
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    Telephone            |    504-834-2062
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    Fax                  |    504-831-7429
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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       |    100201
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    License Number State |    LA
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