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General NPI Number Information
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NPI Number | 1275729774
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Entity Type | Individual
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Provider Name | KATHRYN E LEVINE CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 638 N MAIN ST
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City | ASHLAND
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State | OR
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Zip | 97520-1887
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Country | US
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Telephone | 541-482-1691
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Fax | 541-482-1777
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Provider Business Mailing Address
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Address Line | 638 N MAIN ST
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City | ASHLAND
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State | OR
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Zip | 97520-1887
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Country | US
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Telephone | 541-482-1691
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Fax | 541-482-1777
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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 | RN2331504
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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 | 090006575CR
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License Number State | OR
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