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General NPI Number Information
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NPI Number | 1417958018
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Entity Type | Individual
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Provider Name | JOAN ELLEN REED CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 755 E MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85006-2506
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Country | US
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Telephone | 602-271-3020
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Fax |
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Provider Business Mailing Address
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Address Line | 39011 N 110TH PL
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-7540
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Country | US
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Telephone | 480-784-7784
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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 | 365701
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License Number State | CA
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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 | 108171
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License Number State | AZ
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