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Individual
THOMAS LEE BODE
Active
Individual
THOMAS LEE BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9211289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356339
ANTHEM
—
05
—
200510690
—
IN
05
—
2341817
—
OH
01
—
4-0029230
RAILROAD MEDICARE
KY
05
—
74010687
—
KY
01
—
G3836A
MARTIN COUNTY ANESTHESIA
FL
Enumeration date
07/18/2005
Last updated
11/11/2016
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