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General NPI Number Information
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NPI Number | 1922064740
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Entity Type | Individual
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Provider Name | STAN LEE HINZMANN C.R.N.A.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 16901 LAKESIDE HILLS CT
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City | OMAHA
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State | NE
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Zip | 68130-2318
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Country | US
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Telephone | 402-572-6500
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Fax | 402-572-6501
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Provider Business Mailing Address
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Address Line | 1040 N BELL ST
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City | FREMONT
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State | NE
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Zip | 68025-4347
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Country | US
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Telephone | 402-727-7990
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Fax | 402-727-1761
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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 | 100461
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License Number State | NE
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