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NPI 1295279289

NPI 1295279289 : CHRISTOPHER GEORGE FLORENTINO CRNA : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1295279289
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER GEORGE FLORENTINO CRNA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/08/2016
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    Last Update Date     |    06/01/2021
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Provider Practice Location Address
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    Address Line         |    2400 BAHAMAS DR 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-0745
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    Country              |    US
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    Telephone            |    661-238-2333
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2029 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93303-2029
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    Country              |    US
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    Telephone            |    661-335-7755
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    Fax                  |    661-335-7766
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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       |    95000641
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    License Number State |    CA
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