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General NPI Number Information
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NPI Number | 1841575214
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Entity Type | Individual
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Provider Name | DAVID NOEL NORMAN RN, CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 462 ELMA G MILES PKWY
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City | HINESVILLE
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State | GA
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Zip | 31313-4000
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Country | US
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Telephone | 912-369-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 1061 HARMON AVE SUITE 1D03
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City | FORT STEWART
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State | GA
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Zip | 31314-5641
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Country | US
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Telephone | 912-435-6633
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN190436
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License Number State | GA
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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 | RN190436
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License Number State | GA
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