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General NPI Number Information
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NPI Number | 1225274657
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Entity Type | Individual
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Provider Name | CASSANDRA MCGUIRE ELLINGTON CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 07/15/2014
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Provider Practice Location Address
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Address Line | 801 E 6TH ST SUITE 205
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City | PANAMA CITY
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State | FL
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Zip | 32401-3661
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Country | US
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Telephone | 850-785-3185
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Fax | 850-785-6233
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Provider Business Mailing Address
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Address Line | 801 E 6TH ST SUITE 205
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City | PANAMA CITY
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State | FL
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Zip | 32401-3661
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Country | US
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Telephone | 850-785-3185
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Fax | 850-785-6233
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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 | ARNP2802102
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License Number State | FL
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