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General NPI Number Information
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NPI Number | 1336939933
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Entity Type | Individual
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Provider Name | JANEL FREDERICK CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1900 DON WICKHAM DR
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City | CLERMONT
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State | FL
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Zip | 34711-1979
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Country | US
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Telephone | 352-394-4071
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Fax |
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Provider Business Mailing Address
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Address Line | 284 WALNUT AVE
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City | ORANGE CITY
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State | FL
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Zip | 32763-6020
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 154781
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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 | APRN11039412
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License Number State | FL
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