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General NPI Number Information
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NPI Number | 1538540943
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Entity Type | Individual
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Provider Name | CARLA PEREZ-COLON CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 600 N. WOLFE ST., BLALOCK 1410 JOHN HOPKINS HOSPITAL / DIVISION OF NURSE ANESTHESIA
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City | BALTIMORE
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State | MD
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Zip | 21287
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Country | US
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Telephone | 443-287-2937
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Fax |
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Provider Business Mailing Address
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Address Line | 585 OVER RIDGE DR
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City | FREDERICK
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State | MD
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Zip | 21703-6037
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Country | US
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Telephone | 786-223-5046
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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 | 9293699
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License Number State | FL
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