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General NPI Number Information
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NPI Number | 1326576653
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Entity Type | Individual
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Provider Name | ANGELA BETH BURGESS CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/31/2017
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 4727 E UNION HILLS DR STE 300
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City | PHOENIX
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State | AZ
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Zip | 85050-3387
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Country | US
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Telephone | 602-293-3382
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Fax |
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Provider Business Mailing Address
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Address Line | 6218 E JUSTINE RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1946
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Country | US
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Telephone | 480-363-1438
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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 | RN155985
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License Number State | AZ
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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 | CRNA1435
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License Number State | AZ
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