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General NPI Number Information
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NPI Number | 1235192444
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Entity Type | Individual
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Provider Name | ANGELA ANN BOSE CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 2010 59TH ST W STE 4650
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City | BRADENTON
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State | FL
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Zip | 34209-4616
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Country | US
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Telephone | 941-798-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 6607 CONETTA DR
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City | SARASOTA
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State | FL
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Zip | 34243-4402
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Country | US
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Telephone | 941-592-9942
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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 | ARNP3170382
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License Number State | FL
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