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General NPI Number Information
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NPI Number | 1831137181
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Entity Type | Individual
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Provider Name | ROBERT A STROUD II CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 10/13/2024
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Provider Practice Location Address
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Address Line | 524 W SAGAMORE AVE
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City | CLEWISTON
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State | FL
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Zip | 33440-3514
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Country | US
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Telephone | 863-902-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3525 YUCCA LN
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City | CLEWISTON
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State | FL
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Zip | 33440-7740
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Country | US
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Telephone | 561-301-4805
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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 | RNA143021
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License Number State | ME
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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 | ARNP3260112
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License Number State | FL
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