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General NPI Number Information
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NPI Number | 1932152725
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Entity Type | Individual
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Provider Name | SEAN M. O'BRIEN CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 3073 WHITE MTN HWY ANESTHESIA DEPARTMENT
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City | NORTH CONWAY
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State | NH
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Zip | 03860-5001
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Country | US
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Telephone | 603-356-5461
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Fax | 603-356-7651
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Provider Business Mailing Address
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Address Line | 206 S SHORE RD
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City | NEW DURHAM
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State | NH
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Zip | 03855-2119
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Country | US
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Telephone |
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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 | 226762
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 045179-23-11
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License Number State | NH
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