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General NPI Number Information
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NPI Number | 1376735407
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Entity Type | Individual
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Provider Name | JULIE CHRISTINE ALI APRN, CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 455 LEWIS AVE
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City | MERIDEN
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State | CT
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Zip | 06451-2101
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Country | US
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Telephone | 203-694-8164
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Fax |
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Provider Business Mailing Address
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Address Line | 154 FINCH AVE
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City | MERIDEN
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State | CT
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Zip | 06451-2714
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Country | US
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Telephone | 203-379-0340
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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 | 003640
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License Number State | CT
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