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NPI Code Detail

MEDICARE: JAMES W DOVE CRNA

MEDICARE: JAMES W DOVE CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist098010NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427056670
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES W DOVE CRNA
Provider Business Mailing Address
First Line : 300 W 27TH ST
Second Line : ATTN: WILLIAM J GUTEKUNST
City : LUMBERTON
State : NC
Zip : 28358-3075
Country : US
Telephone Number : 910-671-5000
Fax Number :
Provider Business Practice Location Address
First Line : 300 W 27TH ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3075
Country : US
Telephone Number : 910-671-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 11/14/2016

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