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General NPI Number Information
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NPI Number | 1427061779
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Entity Type | Individual
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Provider Name | BRIDGETTE L. JONAS CRNA
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 4 LINCOLN DR
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City | LITTLETON
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State | MA
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Zip | 01460-1866
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Country | US
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Telephone | 781-899-5632
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Fax |
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Provider Business Mailing Address
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Address Line | 4 LINCOLN DR
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City | LITTLETON
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State | MA
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Zip | 01460-1866
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Country | US
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Telephone |
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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 | RN261389
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License Number State | MA
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