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General NPI Number Information
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NPI Number | 1972671667
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Entity Type | Individual
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Provider Name | ROBERT CARL SANDERS CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 10 ALICE PECK DAY DR
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City | LEBANON
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State | NH
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Zip | 03766-2900
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Country | US
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Telephone | 603-448-3121
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Fax |
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Provider Business Mailing Address
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Address Line | 45 PARK AVE
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City | CLAREMONT
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State | NH
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Zip | 03743-2440
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Country | US
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Telephone | 602-399-5230
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Fax | 602-399-5230
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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 | ARNP9395768
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License Number State | FL
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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 | 2014042320
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 102826
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 082928-23
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License Number State | NH
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