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General NPI Number Information
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NPI Number | 1013267921
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Entity Type | Individual
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Provider Name | ANGELA MARIE GUDEN CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 220 S 7TH ST
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City | MEDFORD
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State | WI
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Zip | 54451-1562
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Country | US
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Telephone | 715-432-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 220 S 7TH ST
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City | MEDFORD
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State | WI
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Zip | 54451-1562
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Country | US
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Telephone | 715-432-8888
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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 | 5063
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License Number State | WI
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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 | 138059-30
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License Number State | WI
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