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General NPI Number Information
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NPI Number | 1265511513
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Entity Type | Individual
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Provider Name | CATHERINE MARY ALWIN CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ANESTHESIA DEPARTMENT 911 NORTHLAND DR.
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City | PRINCETON
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State | MN
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Zip | 55371-2172
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Country | US
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Telephone | 763-389-6384
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Fax |
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Provider Business Mailing Address
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Address Line | 1294 JAMISON AVE NE
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City | SAINT MICHAEL
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State | MN
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Zip | 55376-9361
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Country | US
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Telephone | 763-497-4649
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Fax | 763-497-4985
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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 | 41592
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License Number State | MN
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