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General NPI Number Information
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NPI Number | 1336514124
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Entity Type | Individual
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Provider Name | ANNETTE NOVELLI CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/06/2015
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 6500 W NEWBERRY RD
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City | GAINESVILLE
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State | FL
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Zip | 32605-4309
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Country | US
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Telephone | 352-333-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 5753 HIGHWAY 85 N # 6546
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City | CRESTVIEW
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State | FL
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Zip | 32536-9365
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Country | US
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Telephone | 813-482-7077
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Fax | 813-482-7077
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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 | 744604-01
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License Number State | NY
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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 | ARNP9328474
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License Number State | FL
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