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General NPI Number Information
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NPI Number | 1174591168
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Entity Type | Individual
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Provider Name | CARLA A. JARAMILLO-FORD CRNA MS
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 65 STANWELL ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-7918
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Country | US
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Telephone | 850-774-2082
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Fax |
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Provider Business Mailing Address
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Address Line | 65 STANWELL ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-7918
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Country | US
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Telephone | 850-774-2082
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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 | ARNP3149572
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License Number State | FL
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