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General NPI Number Information
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NPI Number | 1205409067
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Entity Type | Individual
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Provider Name | ALEXANDRA PEZZI RODKEY RN, CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/20/2021
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Last Update Date | 12/24/2023
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-3307
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Country | US
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Telephone | 253-968-2252
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Fax |
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Provider Business Mailing Address
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Address Line | 8024 115TH STREET CT E
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City | PUYALLUP
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State | WA
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Zip | 98373-4618
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Country | US
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Telephone | 215-350-1288
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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 | RN1038631
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License Number State | DC
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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 | 24184424
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License Number State | VA
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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 | AP61431607
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License Number State | WA
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