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General NPI Number Information
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NPI Number | 1427709948
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Entity Type | Individual
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Provider Name | ANDREA PATRICIA BIRD CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 1499 FAIR RD
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City | STATESBORO
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State | GA
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Zip | 30458-1683
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Country | US
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Telephone | 912-486-1150
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Fax |
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Provider Business Mailing Address
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Address Line | 39 GROVE CIR
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City | STATESBORO
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State | GA
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Zip | 30458-0401
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Country | US
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Telephone | 706-498-1877
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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 | RN224011
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN224011
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License Number State | GA
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