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General NPI Number Information
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NPI Number | 1518926625
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Entity Type | Individual
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Provider Name | GRACE F SAQUI CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 5000 W OAKLAND PARK BLVD C/O FLORIDA MEDICAL CENTER
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1503
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Country | US
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Telephone | 954-735-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 14150 SW 16TH ST
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City | MIAMI
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State | FL
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Zip | 33175-7009
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Country | US
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Telephone | 954-445-6091
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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 | ARNP1706812
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License Number State | FL
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