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General NPI Number Information
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NPI Number | 1477647402
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Entity Type | Individual
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Provider Name | SUSAN T AARON CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 2501 PARKERS LN
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3209
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Country | US
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Telephone | 703-664-7049
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Fax | 703-295-9369
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Provider Business Mailing Address
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Address Line | 3998 FAIR RIDGE DR STE 300
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City | MELVILLE
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State | NY
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Zip | 11747
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Country | US
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Telephone | 516-945-3000
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Fax | 516-945-3331
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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 | 0024166006
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License Number State | VA
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