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General NPI Number Information
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NPI Number | 1851538615
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Entity Type | Individual
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Provider Name | CHRISTOPHER B LLOYD CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 10150 S PETUNIA WAY STE B
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City | SANDY
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State | UT
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Zip | 84092-4328
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Country | US
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Telephone | 801-619-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 855 E SNAP DRAGON LN
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City | FRUIT HEIGHTS
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State | UT
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Zip | 84037-3238
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Country | US
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Telephone |
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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 | 5683247-4406
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License Number State | UT
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