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General NPI Number Information
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NPI Number | 1275766305
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Entity Type | Individual
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Provider Name | ANGELA MARIE MARRINER CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 1900 KILDAIRE FARM RD
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City | CARY
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State | NC
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Zip | 27518-6616
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Country | US
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Telephone | 919-350-2330
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 SCOTTS RIDGE TRL
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City | APEX
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State | NC
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Zip | 27502-6880
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Country | US
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Telephone | 919-601-5663
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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 | 197479
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License Number State | NC
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