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General NPI Number Information
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NPI Number | 1285884965
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Entity Type | Individual
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Provider Name | TANYA F SMITH CRNA, DNP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 101 THE CITY DR S
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City | ORANGE
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State | CA
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Zip | 92868-3201
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Country | US
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Telephone | 714-456-7890
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 NEILSON WAY APT 221
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City | SANTA MONICA
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State | CA
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Zip | 90405-4012
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Country | US
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Telephone | 504-416-0717
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Fax | 504-977-0970
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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 | AP05549
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License Number State | LA
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