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General NPI Number Information
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NPI Number | 1124206586
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Entity Type | Individual
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Provider Name | KATRINA A ANDERSON CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 15790 MEDICAL CENTER DRIVE
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City | HAMMOND
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State | LA
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Zip | 70403-2705
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Country | US
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Telephone | 985-345-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 MAGNOLIA ALY
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City | MANDEVILLE
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State | LA
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Zip | 70471-3068
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Country | US
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Telephone | 985-264-1335
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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 | R875265
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License Number State | MS
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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 | AP05384
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License Number State | LA
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