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General NPI Number Information
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NPI Number | 1316009483
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Entity Type | Individual
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Provider Name | DONNA PAULEY CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1820 COOKS HILL RD.
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City | CENTRALIA
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State | WA
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Zip | 98531
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Country | US
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Telephone | 360-943-8470
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Fax |
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Provider Business Mailing Address
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Address Line | 2940 W MARINE VIEW DR
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City | EVERETT
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State | WA
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Zip | 98201-3926
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Country | US
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Telephone | 425-258-7014
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Fax | 425-258-7760
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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 | AP30004373
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License Number State | WA
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