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NPI 1275640112

NPI 1275640112 : DONNA MARIE MORELLI CRNA : EAST ORANGE, NJ

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General NPI Number Information
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    NPI Number           |    1275640112
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    Entity Type          |    Individual 
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    Provider Name        |    DONNA MARIE MORELLI CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/24/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    385 TREMONT AVE 
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    City                 |    EAST ORANGE
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    State                |    NJ
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    Zip                  |    07018-1023
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    Country              |    US
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    Telephone            |    973-676-1000
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    Fax                  |    973-395-7193
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Provider Business Mailing Address
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    Address Line         |    26 MUSKET DR 
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    City                 |    KENDALL PARK
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    State                |    NJ
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    Zip                  |    08824-1836
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    Country              |    US
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    Telephone            |    732-422-8512
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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       |    26NR06909600
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    License Number State |    NJ
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