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General NPI Number Information
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NPI Number | 1528030673
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Entity Type | Individual
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Provider Name | JANE L. ROBERTS CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 HOSPITAL RD
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City | TELL CITY
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State | IN
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Zip | 47586-2750
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Country | US
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Telephone | 812-554-7011
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Fax |
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Provider Business Mailing Address
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Address Line | 862 PLEASURE PT W
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City | MACEO
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State | KY
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Zip | 42355-9710
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1045958
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License Number State | KY
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