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General NPI Number Information
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NPI Number | 1023362696
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Entity Type | Individual
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Provider Name | CRISTINA NICOLE VELA CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 08/22/2017
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Provider Practice Location Address
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Address Line | 13737 NOEL ROAD SUITE 1400
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City | DALLAS
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State | TX
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Zip | 75240-2004
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Country | US
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Telephone | 972-715-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 4730 N HABANA AVE STE 204
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City | TAMPA
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State | FL
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Zip | 33614-7148
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Country | US
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Telephone | 972-715-5000
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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 | 750838
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License Number State | TX
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