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General NPI Number Information
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NPI Number | 1073405791
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Entity Type | Individual
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Provider Name | EMMA BARTHOLOMEW CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER DR HITZELBERGER STRABE
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City | LANDSTUHL
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State | GERMANY
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Zip | 66849
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Country | DE
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Telephone | 496-371-9464
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 ASHLEY LN
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City | MAHTOMEDI
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State | MN
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Zip | 55115-2837
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Country | US
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Telephone |
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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 | 3190
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License Number State | MN
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