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General NPI Number Information
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NPI Number | 1538257613
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Entity Type | Individual
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Provider Name | JENNIFER R ANTHONY CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 325 AVENUE 'B' NW
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City | WINTER HAVEN
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State | FL
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Zip | 33881-4651
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Country | US
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Telephone | 863-291-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 917110
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City | ORLANDO
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State | FL
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Zip | 32891-7110
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Country | US
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Telephone | 800-901-2102
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Fax | 423-892-5838
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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 | ARNP9311432
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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 | 075475 CRNA
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License Number State | TN
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