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General NPI Number Information
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NPI Number | 1306858915
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Entity Type | Individual
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Provider Name | KIMBERLY A. STRANDBERG CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 03/27/2020
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Provider Practice Location Address
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Address Line | 2900 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60657-5640
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Country | US
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Telephone | 773-665-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 185 PENNY AVE
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City | EAST DUNDEE
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State | IL
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Zip | 60118-1454
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Country | US
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Telephone | 847-836-7015
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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 | 041255846
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License Number State | IL
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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 | RN1012697
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R177291
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License Number State | MD
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