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General NPI Number Information
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NPI Number | 1992793228
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Entity Type | Individual
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Provider Name | GREGORY ERIC WINGER CRNA
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Gender | Male
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-5902
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Country | US
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Telephone | 216-444-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 33295 SONOMA WAY
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City | AVON
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State | OH
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Zip | 44011-4512
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Country | US
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Telephone | 440-937-0280
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN 185521-COA-1
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License Number State | OH
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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 | 00821-NA
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License Number State | OH
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