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General NPI Number Information
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NPI Number | 1811947708
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Entity Type | Individual
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Provider Name | LEON S BROOK CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 585 E RIVERSIDE DR STE 100
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City | ST GEORGE
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State | UT
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Zip | 84790-7141
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Country | US
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Telephone | 435-310-5414
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Fax |
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Provider Business Mailing Address
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Address Line | 2240 E 2540 S
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City | ST GEORGE
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State | UT
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Zip | 84790-6540
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Country | US
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Telephone | 208-241-0591
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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 | RNA428
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License Number State | ID
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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 | 189560-3105
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 227968
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License Number State | CT
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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 | CRNA1557
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RNA-428
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP107266
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 189560-8901
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License Number State | UT
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