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General NPI Number Information
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NPI Number | 1033214408
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Entity Type | Individual
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Provider Name | JEANMARIE ALTIERI CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 645 E MISSOURI AVE STE 300
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City | PHOENIX
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State | AZ
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Zip | 85012-1351
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Country | US
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Telephone | 602-262-8900
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Fax | 602-262-8890
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Provider Business Mailing Address
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Address Line | 9127 W RUSSELL RD STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89148-1253
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Country | US
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Telephone | 702-878-0070
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Fax | 702-209-2064
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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 | APRN1929702
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License Number State | FL
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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 | CRNA000480
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License Number State | NV
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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 | CRNA1121
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN28623
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License Number State | TN
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