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NPI 1144273525

NPI 1144273525 : PAMELA A. GILL CRNA : APOLLO, FL

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General NPI Number Information
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    NPI Number           |    1144273525
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA A. GILL CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/18/2006
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    Last Update Date     |    11/04/2021
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Provider Practice Location Address
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    Address Line         |    GAP ANESTHESIA RESOURCES LLC 605 ISLEBAY DRIVE
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    City                 |    APOLLO
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    State                |    FL
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    Zip                  |    33572-3336
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    Country              |    US
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    Telephone            |    813-777-5559
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    GAP ANESTHESIA RESOURCES LLC 605 ISLEBAY DRIVE
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    City                 |    APOLLO
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    State                |    FL
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    Zip                  |    33572-3336
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    Country              |    US
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    Telephone            |    813-777-5559
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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       |    R100940
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    License Number State |    MD
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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       |    ARNP9241575
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    License Number State |    FL
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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       |    9241575
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    367H00000X
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    Taxonomy Name        |    Anesthesiologist Assistant
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    License Number       |    ARNP9241575
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    License Number State |    FL
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Taxonomy #5
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    AC002829
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    License Number State |    MD
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