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General NPI Number Information
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NPI Number | 1023590346
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Entity Type | Individual
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Provider Name | MICHELLE THOMASCH PATEL CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 1275 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 212-639-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 69 5TH AVE APT 15A
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City | NEW YORK
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State | NY
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Zip | 10003-3009
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Country | US
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Telephone | 978-807-4610
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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 | RN1030092
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 124708
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License Number State | DC
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