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General NPI Number Information
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NPI Number | 1891035556
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Entity Type | Individual
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Provider Name | HAYLEY R FERGUSON CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/18/2013
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 7050 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-1347
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Country | US
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Telephone | 813-783-6119
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 402447
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City | ATLANTA
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State | GA
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Zip | 30384-2447
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Country | US
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Telephone | 877-509-3653
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Fax | 913-341-5797
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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 | ARNP 9218367
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License Number State | FL
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