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General NPI Number Information
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NPI Number | 1396341038
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Entity Type | Organization
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Legal Business Name | IWATA NURSING ANESTHESIA SERVICES INC
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 2163 ALDENGATE WAY # 422
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City | HAYWARD
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State | CA
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Zip | 94545-3527
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Country | US
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Telephone | 415-942-4743
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Fax | 831-783-3089
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Provider Business Mailing Address
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Address Line | 416B MAIN ST
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City | SALINAS
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State | CA
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Zip | 93901-3306
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Country | US
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Telephone | 831-800-7887
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Fax | 831-998-7155
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Authorized Official
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Title or Position | CRNA
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Name | MS. ERIKO IWATA
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Credential | CRNA
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Telephone | 415-942-4743
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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 |
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License Number State |
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