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NPI 1033374657

NPI 1033374657 : AMBER GEORGE CRNA : SPOKANE, WA

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General NPI Number Information
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    NPI Number           |    1033374657
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    Entity Type          |    Individual 
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    Provider Name        |    AMBER GEORGE CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/23/2008
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    Last Update Date     |    01/03/2019
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Provider Practice Location Address
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    Address Line         |    101 W 8TH AVE 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99204
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    Country              |    US
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    Telephone            |    509-474-3181
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    Fax                  |    509-227-7070
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Provider Business Mailing Address
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    Address Line         |    PO BOX 94645 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98124-6945
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    Country              |    US
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    Telephone            |    706-650-0705
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    Fax                  |    509-227-7070
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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       |    3616
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    License Number State |    CA
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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       |    56417
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    License Number State |    ID
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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       |    AP60834505
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    License Number State |    WA
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Taxonomy #4
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    638423
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    License Number State |    CA
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