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General NPI Number Information
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NPI Number | 1568435766
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Entity Type | Individual
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Provider Name | MARY E AHN CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 505 PEACHTREE ST NE STE 1660
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City | ATLANTA
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State | GA
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Zip | 30308-3108
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Country | US
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Telephone | 404-881-1094
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Fax |
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Provider Business Mailing Address
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Address Line | 2425 PEACHTREE RD NE UNIT 1404
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City | ATLANTA
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State | GA
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Zip | 30305-4427
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Country | US
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Telephone | 734-647-5299
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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 | RN332897
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License Number State | GA
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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 | 4704361784
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License Number State | MI
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