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General NPI Number Information
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NPI Number | 1265494082
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Entity Type | Individual
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Provider Name | PATRICIA C. PLATIKA CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 50 RICH VALLEY RD
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City | WAYLAND
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State | MA
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Zip | 01778-2428
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Country | US
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Telephone | 508-358-6236
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 372
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City | STOUGHTON
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State | MA
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Zip | 02072-0372
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Country | US
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Telephone | 781-341-3966
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Fax | 781-341-8269
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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 | 138355
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN138355
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License Number State | MA
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