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General NPI Number Information
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NPI Number | 1538496237
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Entity Type | Individual
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Provider Name | ROSEANNE TIPPMANN CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1850 BLUEGRASS AVE
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City | LOUISVILLE
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State | KY
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Zip | 40215
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Country | US
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Telephone | 502-852-5851
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | LOUISVILLE
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State | KY
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Zip | 40201-0909
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Country | US
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Telephone | 502-588-0328
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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 | 3006319
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License Number State | KY
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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 | APRN 9367343
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License Number State | FL
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