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General NPI Number Information
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NPI Number | 1124771431
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Entity Type | Individual
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Provider Name | ANNA ROSE LONG DNP, CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 11190 HEALTH PARK BLVD
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City | NAPLES
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State | FL
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Zip | 34110-5729
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Country | US
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Telephone | 239-624-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 VICTORIA STREET 360A VICTORIA BUILDING
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City | PITTSBURGH
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State | PA
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Zip | 15213
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Country | US
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Telephone | 412-624-4860
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9674909
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN706819
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License Number State | PA
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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 | APRN11037392
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License Number State | FL
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