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General NPI Number Information
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NPI Number | 1972741296
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Entity Type | Individual
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Provider Name | BETH MCELWEE FAUST CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 1908 GRANBY RD
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City | KINGSPORT
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State | TN
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Zip | 37665
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Country | US
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Telephone | 994-242-3915
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Fax |
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Provider Business Mailing Address
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Address Line | 239 OLD ISLAND TRL
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City | KINGSPORT
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State | TN
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Zip | 37664-4275
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Country | US
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Telephone | 225-803-4570
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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 | 20913
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License Number State | SC
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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 | 109001
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License Number State | LA
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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 | 168243
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License Number State | TN
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