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General NPI Number Information
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NPI Number | 1316391915
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Entity Type | Individual
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Provider Name | TRICHELE D NAZARENO CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/20/2016
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 1418 E MAIN ST SUITE 110
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City | SANTA MARIA
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State | CA
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Zip | 93454-4833
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Country | US
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Telephone | 615-620-2320
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 291264
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City | NASHVILLE
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State | TN
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Zip | 37229-1264
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Country | US
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Telephone | 615-620-2320
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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 | 95000520
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License Number State | CA
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