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General NPI Number Information
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NPI Number | 1396787057
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Entity Type | Individual
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Provider Name | DANA B PEDERSON CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 242 9TH AVENUE DR NE
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City | HICKORY
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State | NC
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Zip | 28601-3828
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Country | US
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Telephone | 828-327-6673
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Fax | 828-327-0668
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Provider Business Mailing Address
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Address Line | PO BOX 935722
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City | ATLANTA
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State | GA
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Zip | 31193-5722
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Country | US
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Telephone | 843-876-1344
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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 | 051250
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License Number State | NC
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