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General NPI Number Information
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NPI Number | 1932615226
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Entity Type | Individual
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Provider Name | AARON WAYNE HOLMES CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 3134 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60657-4414
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Country | US
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Telephone | 773-766-4949
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Fax | 312-766-4908
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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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 | 209028307
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License Number State | IL
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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 | 3011968
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License Number State | KY
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