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General NPI Number Information
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NPI Number | 1053622720
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Entity Type | Individual
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Provider Name | ASHLEY ELIZABETH FEDAN CRNA, ANRP
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Gender | Female
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 215 1ST AVE W APT 711
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City | SEATTLE
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State | WA
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Zip | 98119-4257
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Country | US
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Telephone | 717-487-4316
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Fax |
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Provider Business Mailing Address
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Address Line | 18911 NE 168TH ST
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City | WOODINVILLE
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State | WA
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Zip | 98072-6125
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Country | US
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Telephone | 717-487-4316
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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 | AP60172251
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License Number State | WA
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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 | 084279
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License Number State | PA
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