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General NPI Number Information
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NPI Number | 1821451469
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Entity Type | Individual
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Provider Name | KRUNAL PATEL CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD FAIRFAX ANESTHESIOLOGY ASSOCIATES
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 703-776-3138
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 SPRING FOREST RD
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City | RALEIGH
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State | NC
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Zip | 27616-2880
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Country | US
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Telephone | 919-882-7908
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Fax | 919-873-9821
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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 | 249139
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 0024173592
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License Number State | VA
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