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General NPI Number Information
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NPI Number | 1205827995
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Entity Type | Individual
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Provider Name | KERI H. ORTEGA CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 6101 PINE RIDGE RD
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City | NAPLES
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State | FL
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Zip | 34119-3900
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Country | US
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Telephone | 239-304-4862
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Fax | 239-304-5157
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Provider Business Mailing Address
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Address Line | PO BOX 551420
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City | FOR LAUDERDALE
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State | FL
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Zip | 33607-6307
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Country | US
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Telephone | 800-243-3839
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Fax | 855-851-4405
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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 | ARNP2932132
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License Number State | FL
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