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General NPI Number Information
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NPI Number | 1356626246
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Entity Type | Individual
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Provider Name | KATRINA LUCILLE PINCZES CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/11/2011
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 1901 RED ROCK DR
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City | GALLUP
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State | NM
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Zip | 87301-5683
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Country | US
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Telephone | 330-603-5716
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Fax |
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Provider Business Mailing Address
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Address Line | 391 WARWICK ST
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City | AKRON
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State | OH
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Zip | 44305-3129
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Country | US
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Telephone | 330-794-8871
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Fax | 330-794-8871
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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 | 12236-NA
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License Number State | OH
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