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General NPI Number Information
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NPI Number | 1366889586
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Entity Type | Individual
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Provider Name | PATRICE S PANTIN CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/29/2013
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 232 W 25TH ST
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City | ERIE
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State | PA
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Zip | 16544-3300
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Country | US
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Telephone | 814-450-5000
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Fax | 814-452-7818
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Provider Business Mailing Address
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Address Line | 10313 MEDICIS PL
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City | WELLINGTON
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State | FL
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Zip | 33449-8069
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Country | US
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Telephone | 561-584-8569
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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 | RN754775
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License Number State | PA
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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 | 756991
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License Number State | NY
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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 | ARNP9291949
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License Number State | FL
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