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General NPI Number Information
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NPI Number | 1295433274
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Entity Type | Individual
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Provider Name | ANYA BERNERT KRAUSE CNM
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Gender | Female
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 101 DUDLEY ST
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City | PROVIDENCE
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State | RI
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Zip | 02905-2401
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Country | US
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Telephone | 401-453-7950
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Fax | 401-453-7658
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Provider Business Mailing Address
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Address Line | 455 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-2759
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Country | US
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Telephone | 401-273-0641
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Fax | 401-273-2919
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 205102
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 534
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | CNM00228
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License Number State | RI
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