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General NPI Number Information
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NPI Number | 1508405457
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Entity Type | Individual
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Provider Name | SHANA HUDSON RN, BSN, MSN, CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/24/2019
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 11600 W 2ND PL
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City | LAKEWOOD
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State | CO
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Zip | 80228-1527
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Country | US
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Telephone | 720-321-1010
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Fax | 720-321-1001
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Provider Business Mailing Address
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Address Line | 12644 SILVERDALE ST
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City | TAMPA
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State | FL
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Zip | 33626-2510
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Country | US
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Telephone | 727-641-5907
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9391308
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License Number State | FL
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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 | 11005533
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License Number State | FL
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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 | C-APN.0003848-C-CRNA
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License Number State | CO
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