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General NPI Number Information
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NPI Number | 1568498061
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Entity Type | Individual
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Provider Name | SHELLEY ANN GIERAT CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10833 LE CONTE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90095-3075
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Country | US
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Telephone | 310-825-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 220 S REXFORD DR APT C
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-4009
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Country | US
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Telephone | 310-871-0017
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Fax | 310-278-4983
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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 | NA2700
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License Number State | CA
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