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General NPI Number Information
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NPI Number | 1467432153
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Entity Type | Individual
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Provider Name | JOAN M BLASINSKY CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 2969 SE LEXINGTON LAKES DR
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City | STUART
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State | FL
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Zip | 34994-5763
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Country | US
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Telephone | 772-285-3960
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Fax |
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Provider Business Mailing Address
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Address Line | 6332 OYSTER BAY CT
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-3421
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Country | US
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Telephone | 772-285-3960
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Fax | 412-221-7577
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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 | RN238035L
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License Number State | PA
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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 | 61203
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN3138002
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License Number State | FL
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