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NPI 1912238916

NPI 1912238916 : SOMMEIL SUR ANESTHESIA SERVICES PC : NORMAN, OK

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General NPI Number Information
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    NPI Number           |    1912238916
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOMMEIL SUR ANESTHESIA SERVICES PC 
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Dates
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    Enumeration Date     |    01/15/2010
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    Last Update Date     |    01/15/2010
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Provider Practice Location Address
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    Address Line         |    415 W GRAY ST 
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73069-7117
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    Country              |    US
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    Telephone            |    405-809-4200
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    Fax                  |    405-364-5379
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Provider Business Mailing Address
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    Address Line         |    415 W GRAY ST 
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73069-7117
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    Country              |    US
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    Telephone            |    405-809-4200
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    Fax                  |    405-364-5379
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CHRISTOPHER JEROME MARMANDE 
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    Credential           |    CRNA
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    Telephone            |    251-343-6683
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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       |    R0081280
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    License Number State |    OK
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