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General NPI Number Information
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NPI Number | 1942594874
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Entity Type | Individual
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Provider Name | JARED JAY VEURINK CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 601 E 7TH ST #1
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City | PLATTE
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State | SD
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Zip | 57369-2123
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Country | US
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Telephone | 605-337-3364
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 56
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City | PLATTE
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State | SD
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Zip | 57369-0056
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Country | US
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Telephone | 605-337-3364
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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 | CR000757
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License Number State | SD
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