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General NPI Number Information
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NPI Number | 1316597206
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Entity Type | Individual
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Provider Name | CATHERINE ARIANA PALLAS CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 1200 7TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-1300
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Country | US
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Telephone | 727-825-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 5095 25TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33710-3522
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9365973
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License Number State | FL
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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 | APRN11005437
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License Number State | FL
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