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General NPI Number Information
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NPI Number | 1477852705
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Entity Type | Individual
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Provider Name | ANTHONY M NJENGA CRNA
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Gender | Male
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 11234 ANDERSON STREET LOMA LINDA UNIVERSITY MEDICAL CENTER
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City | LOMA LINDA
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State | CA
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Zip | 92354-5515
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Country | US
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Telephone | 909-558-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 800 S SUNSET AVE APT 195
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City | WEST COVINA
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State | CA
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Zip | 91790-5515
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Country | US
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Telephone | 626-905-0567
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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 | 4041
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License Number State | CA
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