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General NPI Number Information
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NPI Number | 1215209135
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Entity Type | Individual
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Provider Name | ANA ROSE ERBEZNIK CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 7111 FAIRWAY DRIVE, SUITE 450 PALM BEACH GARDENS TEAM ANESTHESIA, PA
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418
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Country | US
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Telephone | 561-799-3552
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Fax | 561-799-3527
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Provider Business Mailing Address
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Address Line | 15245 CHILLICOTHE RD P.O. BOX 231
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City | NOVELTY
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State | OH
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Zip | 44072-9656
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Country | US
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Telephone | 440-796-6832
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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 | RN9335793
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License Number State | FL
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