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General NPI Number Information
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NPI Number | 1073560439
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Entity Type | Individual
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Provider Name | KAREN SAMUELS CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 107 GAMMA DR STE 200
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City | PITTSBURGH
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State | PA
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Zip | 15238-2917
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Country | US
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Telephone | 412-963-7917
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Fax |
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Provider Business Mailing Address
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Address Line | 2026 STILLWATER DR
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City | GIBSONIA
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State | PA
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Zip | 15044-6200
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Country | US
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Telephone | 301-498-2044
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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 | RN525665
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License Number State | PA
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