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General NPI Number Information
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NPI Number | 1104980838
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Entity Type | Individual
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Provider Name | ANNE A GRAJO CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4809 N ARMENIA AVE SUITE 100
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City | TAMPA
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State | FL
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Zip | 33603
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Country | US
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Telephone | 813-872-9310
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Fax | 813-872-9311
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Provider Business Mailing Address
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Address Line | PO BOX 3513
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City | APOLLO BEACH
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State | FL
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Zip | 33572-1005
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Country | US
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Telephone | 813-672-4379
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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 | ARNP1829102
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License Number State | FL
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