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General NPI Number Information
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NPI Number | 1194591370
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Entity Type | Individual
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Provider Name | GRABIEL AARON PAGAN CRNA
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Gender | Male
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 1600 MEDICAL PKWY
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City | CARSON CITY
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State | NV
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Zip | 89703-4625
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Country | US
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Telephone | 775-445-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2552 SAGE DR
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City | KISSIMMEE
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State | FL
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Zip | 34758-2250
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Country | US
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Telephone | 201-282-1174
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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 | RN9555748
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License Number State | FL
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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 | 26NJ15247000
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License Number State | NJ
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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 | APRN11031253
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 873067
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License Number State | NV
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