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General NPI Number Information
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NPI Number | 1124041884
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Entity Type | Individual
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Provider Name | ECHO R REARDON CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 760 W 46TH ST APT 309
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City | KANSAS CITY
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State | MO
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Zip | 64112-1450
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Country | US
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Telephone | 309-825-0980
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Fax |
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Provider Business Mailing Address
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Address Line | 760 W 46TH ST APT 309
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City | KANSAS CITY
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State | MO
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Zip | 64112-1450
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Country | US
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Telephone | 309-825-0980
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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 | 2022006185
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2021001830
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209001650
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License Number State | IL
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