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Individual
ROBERT ALAN SHEDORE
Active
Individual
ROBERT ALAN SHEDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
46116
NC
367500000X
Certified Registered Nurse Anesthetist
786750
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP118567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144509
RN LICENSE
NC
05
—
215901409
—
TX
01
—
46116
AANA LICENSE
—
05
—
8050925
—
NC
05
—
NAN768
—
SC
Enumeration date
06/23/2006
Last updated
01/18/2021
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