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General NPI Number Information
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NPI Number | 1104804608
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Entity Type | Individual
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Provider Name | MARLA J HADELER CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 09/23/2009
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Provider Practice Location Address
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Address Line | 1305 E NOLANA AVE STE H
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City | MCALLEN
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State | TX
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Zip | 78504-6114
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Country | US
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Telephone | 956-682-4151
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Fax | 956-682-4154
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Provider Business Mailing Address
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Address Line | PO BOX 3744
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City | MCALLEN
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State | TX
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Zip | 78502-3744
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Country | US
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Telephone | 956-455-6119
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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 | 463255
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License Number State | TX
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