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General NPI Number Information
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NPI Number | 1508416199
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Entity Type | Individual
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Provider Name | CARLI MARIE CERNOSKY CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 1 AKRON GENERAL AVE
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City | AKRON
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State | OH
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Zip | 44307-2432
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Country | US
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Telephone | 330-344-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1328 TIMBER TRL
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City | HUDSON
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State | OH
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Zip | 44236-5325
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Country | US
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Telephone |
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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 | 403362
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License Number State | OH
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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 | 127345
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License Number State | OH
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