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General NPI Number Information
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NPI Number | 1578567806
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Entity Type | Individual
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Provider Name | DAWN E TENDLER CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 12/30/2008
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Provider Practice Location Address
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Address Line | 27 HOSPITAL AVE SUITE 202
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City | DANBURY
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State | CT
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Zip | 06810-5954
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Country | US
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Telephone | 203-743-5024
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Fax | 203-743-5203
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Provider Business Mailing Address
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Address Line | 916B HERITAGE VLG
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City | SOUTHBURY
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State | CT
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Zip | 06488-5389
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Country | US
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Telephone | 203-267-7785
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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 | 000140
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License Number State | CT
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