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General NPI Number Information
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NPI Number | 1851332209
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Entity Type | Individual
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Provider Name | WILLIAM F REID CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 2005 HWY 82 WEST
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City | GREENWOOD
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State | MS
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Zip | 38930
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Country | US
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Telephone | 662-455-4523
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Fax | 662-455-3790
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Provider Business Mailing Address
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Address Line | 2005 HWY 82 WEST
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City | GREENWOOD
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State | MS
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Zip | 38930
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Country | US
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Telephone | 662-455-4523
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Fax | 662-455-3790
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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 | R792327
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License Number State | MS
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