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NPI 1972546588

NPI 1972546588 : DARIN J WARD C.R.N.A. : CHILLICOTHEE, MO

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General NPI Number Information
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    NPI Number           |    1972546588
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    Entity Type          |    Individual 
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    Provider Name        |    DARIN J WARD C.R.N.A.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/13/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    100 CENTRAL ST 
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    City                 |    CHILLICOTHEE
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    State                |    MO
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    Zip                  |    64601-1554
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    Country              |    US
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    Telephone            |    660-707-4442
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    Fax                  |    660-707-4391
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Provider Business Mailing Address
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    Address Line         |    302 N RIGNEY 
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    City                 |    ALBANY
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    State                |    MO
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    Zip                  |    64402
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    Country              |    US
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    Telephone            |    660-726-5775
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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       |    153501
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    License Number State |    MO
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