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General NPI Number Information
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NPI Number | 1811633225
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Entity Type | Individual
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Provider Name | RICE FOREST GIFFIN DNAP, CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 9655 BOYNTON BEACH BLVD
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-4421
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Country | US
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Telephone | 561-336-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 3405 N ORANGE BLOSSOM TRL LOT 26
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City | ORLANDO
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State | FL
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Zip | 32804-3408
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Country | US
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Telephone | 407-312-8353
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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 | APRN11019835
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License Number State | FL
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