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General NPI Number Information
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NPI Number | 1487081618
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Entity Type | Individual
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Provider Name | BETH A BRINKMAN CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 2211 NE 139TH ST
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City | VANCOUVER
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State | WA
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Zip | 98686-2742
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Country | US
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Telephone | 360-828-5396
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Fax | 360-828-5455
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Provider Business Mailing Address
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Address Line | PO BOX 5157
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City | VANCOUVER
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State | WA
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Zip | 98668-5157
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Country | US
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Telephone | 360-828-5396
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Fax | 360-828-5455
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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 | RN123263
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License Number State | AZ
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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 | 01277
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License Number State | NM
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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 | AP60567277
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License Number State | WA
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