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General NPI Number Information
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NPI Number | 1215177233
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Entity Type | Individual
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Provider Name | ILIONE ANTOINE CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 12/15/2016
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Provider Practice Location Address
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Address Line | 5555 PONCE DE LEON BLVD
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City | MIAMI
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-689-2427
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Fax | 305-740-0853
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Provider Business Mailing Address
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Address Line | 5555 PONCE DE LEON BLVD
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City | MIAMI
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-689-2427
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Fax | 305-740-0853
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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 | ARNP 9192147
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License Number State | FL
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