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General NPI Number Information
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NPI Number | 1912720855
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Entity Type | Individual
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Provider Name | DOMINIC PAUL MORROW CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 2243 BRIXTON RD
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City | COLUMBUS
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State | OH
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Zip | 43221-3117
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Country | US
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Telephone | 614-940-4315
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Fax |
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Provider Business Mailing Address
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Address Line | 10137 ERIE DR
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City | FORT WAYNE
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State | IN
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Zip | 46818-0206
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Country | US
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Telephone | 313-244-8630
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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 | RN276206
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License Number State | GA
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