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General NPI Number Information
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NPI Number | 1245530260
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Entity Type | Individual
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Provider Name | BETH ANNE PRALL CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2929 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-8034
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Country | US
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Telephone | 602-470-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 350 E NORTHVIEW AVE
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City | PHOENIX
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State | AZ
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Zip | 85020-4933
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Country | US
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Telephone | 480-206-3198
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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 | CRNA0844
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License Number State | AZ
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