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General NPI Number Information
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NPI Number | 1952634594
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Entity Type | Individual
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Provider Name | KERRY LEE BLAIR CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 620 N MAIN ST # 2
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City | HARRISON
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State | AR
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Zip | 72601-2911
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Country | US
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Telephone | 870-414-5000
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Fax | 870-414-4949
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Provider Business Mailing Address
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Address Line | PO BOX 2990
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City | HARRISON
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State | AR
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Zip | 72602-2990
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Country | US
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Telephone | 870-414-5000
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Fax | 870-414-4789
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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 | 110097
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License Number State | MO
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