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General NPI Number Information
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NPI Number | 1932381092
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Entity Type | Individual
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Provider Name | AARON TAYLOR KRENEK CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 1221 S GEAR AVE
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City | WEST BURLINGTON
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State | IA
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Zip | 52655-1679
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Country | US
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Telephone | 979-549-5846
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Fax |
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Provider Business Mailing Address
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Address Line | 7141 S GEAR AVE
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City | BURLINGTON
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State | IA
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Zip | 52601-9311
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Country | US
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Telephone | 979-549-5846
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10780
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License Number State | TX
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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 | 283463
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License Number State | NC
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