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General NPI Number Information
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NPI Number | 1346552239
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Entity Type | Individual
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Provider Name | TRICIA J. DEHAAS CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/03/2013
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Provider Practice Location Address
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Address Line | 1235 WHITEHORSE MERCERVILLE RD BUILDING C, SUITE 310
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City | HAMILTON
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State | NJ
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Zip | 08619-3810
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Country | US
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Telephone | 609-581-6610
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8544
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City | HAMILTON
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State | NJ
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Zip | 08650-0544
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Country | US
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Telephone | 201-804-2800
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Fax | 201-804-8883
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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 | 26NR08562200
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License Number State | NJ
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