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General NPI Number Information
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NPI Number | 1528095908
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Entity Type | Individual
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Provider Name | LAURA A BOZLINSKI CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 3300 GALLOWS RD
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3307
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Country | US
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Telephone | 703-776-3138
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Fax | 703-776-2623
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Provider Business Mailing Address
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Address Line | 4215 MOZART BRIGADE LN APT 26
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City | FAIRFAX
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State | VA
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Zip | 22033-3976
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Country | US
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Telephone | 703-307-1549
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Fax | 703-776-2623
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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 | 0001139172
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License Number State | VA
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