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General NPI Number Information
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NPI Number | 1205942034
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Entity Type | Individual
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Provider Name | BEVERLY O'CONNOR-GRIFFIN CRNA, MS
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10000 BAY PINES BLVD
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City | ST. PETERSBURG
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State | FL
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Zip | 33744
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Country | US
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Telephone | 727-398-6661
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Fax | 727-319-1049
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Provider Business Mailing Address
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Address Line | 5908 30TH CT E
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City | ELLENTON
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State | FL
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Zip | 34222-4366
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Country | US
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Telephone | 941-721-0606
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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 | 9176412
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License Number State | FL
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