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General NPI Number Information
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NPI Number | 1912333980
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Entity Type | Individual
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Provider Name | RICK FOX CRNA
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Gender | Male
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Dates
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Enumeration Date | 09/22/2013
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 500 W HOSPITAL RD
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City | FRENCH CAMP
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State | CA
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Zip | 95231-9693
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Country | US
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Telephone | 209-468-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1927 TARTAN RD
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City | TURLOCK
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State | CA
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Zip | 95382-9243
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Country | US
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Telephone | 209-518-3889
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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 | 5897742-4406
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License Number State | UT
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