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General NPI Number Information
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NPI Number | 1184099350
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Entity Type | Individual
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Provider Name | SUZANNE KELLER CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 6442 E SPEEDWAY BLVD STE 152
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City | TUCSON
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State | AZ
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Zip | 85710-0013
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Country | US
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Telephone | 520-771-8175
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Fax |
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Provider Business Mailing Address
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Address Line | 7301 N 16TH ST STE 102
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City | PHOENIX
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State | AZ
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Zip | 85020-5266
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Country | US
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Telephone | 480-420-4027
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Fax | 602-535-0940
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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 | CRNA1207
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License Number State | AZ
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