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General NPI Number Information
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NPI Number | 1346687530
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Entity Type | Individual
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Provider Name | KAYLA MARIE WINN C.R.N.A
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Gender | Female
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Dates
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Enumeration Date | 05/28/2013
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Last Update Date | 09/15/2019
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Provider Practice Location Address
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Address Line | 11234 ANDERSON ST
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City | LOMA LINDA
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State | CA
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Zip | 92354
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Country | US
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Telephone | 866-436-2098
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Fax |
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Provider Business Mailing Address
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Address Line | 12482 TAMARISK DR.
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739
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Country | US
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Telephone | 951-751-5990
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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 | 765925
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 887894
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP129391
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 887894
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 95000008
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License Number State | CA
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