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General NPI Number Information
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NPI Number | 1083870927
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Entity Type | Individual
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Provider Name | ANDREA KAY ROSSI CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 9200 W WISCONSIN AVE
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City | MILWAUKEE
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State | WI
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Zip | 53226-3522
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Country | US
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Telephone | 414-805-8700
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Fax | 414-259-1522
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Provider Business Mailing Address
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Address Line | 723 POWERS ST
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City | OSHKOSH
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State | WI
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Zip | 54901-4656
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Country | US
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Telephone | 920-203-3596
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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 | 7509-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 157939-30
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License Number State | WI
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