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NPI 1356321590

NPI 1356321590 : DALENE D. PERDUE CRNA : BULLHEAD CITY, AZ

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General NPI Number Information
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    NPI Number           |    1356321590
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    Entity Type          |    Individual 
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    Provider Name        |    DALENE D. PERDUE CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/21/2006
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    2735 SILVER CREEK RD 
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    City                 |    BULLHEAD CITY
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    State                |    AZ
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    Zip                  |    86442-7924
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    Country              |    US
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    Telephone            |    928-763-2273
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3000 S JAMAICA CT STE 140 
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80014-4601
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    Country              |    US
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    Telephone            |    303-755-3201
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    Fax                  |    303-755-3204
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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       |    150270
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    License Number State |    CO
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