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NPI 1548962780

NPI 1548962780 : EMILIJA CONEVA CRNA : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1548962780
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    Entity Type          |    Individual 
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    Provider Name        |    EMILIJA CONEVA CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/21/2023
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    Last Update Date     |    06/23/2026
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Provider Practice Location Address
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    Address Line         |    604 CALLE CERRA APT 4A 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00907-3619
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    Country              |    US
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    Telephone            |    562-336-7983
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 13431 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00908-3431
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    Country              |    US
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    Telephone            |    562-336-7983
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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       |    APRN11026054
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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       |    086827
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    License Number State |    PR
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Taxonomy #3
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    RN95182842
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    License Number State |    CA
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