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General NPI Number Information
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NPI Number | 1497714646
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Entity Type | Individual
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Provider Name | REBECCA S JIMENEZ C.R.N.A.
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Gender | Female
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 1215 PLEASANT STREET SUITE 400
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City | DES MOINES
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State | IA
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Zip | 50309-1418
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Country | US
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Telephone | 515-241-5722
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Fax | 515-241-4403
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Provider Business Mailing Address
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Address Line | 1215 PLEASANT STREET SUITE 400
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City | DES MOINES
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State | IA
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Zip | 50309-1418
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Country | US
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Telephone | 515-241-5722
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Fax | 515-241-4403
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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 | D064621
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License Number State | IA
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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 | 123902
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License Number State | AR
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